Document NNNoojwxvE7vLjbv2E937v57Q

APPLIED EPIDEMIOLOGY INC. Invoice #: CM96-1105 Federal Tax ID: 04-3110376 November 5, 1996 Dr. Hasmukh Shah Manager, Vinyl Chloride Panel Chemical Manufacturers Association 1300 Wilson Boulevard Arlington, VA 22209 Reference: VCHC-4.0-EPI-UFDATE Dear Dr. Shah: This is an invoice for the project, "Update of Mortality Among Vinyl Chloride Workers." TOTAL THIS INVOICE $36,875 Interim Report 5 is enclosed. Please do not hesitate to call if you have any questions. Thank you. Sincerely yours, Kenneth A. Mundt, Ph.D. enclosure P.O. BOX 2424 AMHERST, MA 01004 CMA 112831 (413) 256-3556 FAX (413) 256-3503 Cl IEMKjM MANUFACTUnenO ASSOCIATION/ Format for contract payment% Applied Epidemiology Inc. LU P.O. Box 2424 LU Amherst, MA 01004 Date: September 6 1996 ;| ^ ty. SUPPORTING DOCUMENTATION Amount: $36,875.00 DESCRIPTION OF ITEM OR SERVICE AMOUNT Contract#: VCHC-4.0-EPI-UPDATE Payment covering Invoice (Initial/Number/Final) Funds Withheld Prior to Final (Number or!'ime Period) Original Amount Authorized Additions Via Amendments Total Amount Authorized Less Previous Payments $346,225.00 $214.545.00 Current Balance This Payment New Balance $131,680.00 S36.875.00 $94,805.00 $36,875.00 Does any of the total represent a lobbying expenditure? Yes: Date Requested: Requested By:Has Shah G/L Account No. J(OL-'O Approved By Director (Up to $5,000): Approved By Vice President (Up to $io,ooo):L. Spurlock Approved By President (Over$50,000): Additional Approval: Approval By Treasurer (Over$io,ooo>: Amount: 88710 NoV Executive Vice President (Over$io,ooo): CMA 112832 Revised 7/96 Not t Attach appropriate supporting documentation and alter obtaining approvals, forward to accounting. You should retain a copy for your records. kreq.frp/ CHEMICAL MANUFACTURERS ASSOCIATION CHECK REQUISITION Format for contract payments Applied Epidemiology Inc. uiill P.O. Box 2424 Amherst, MA 01004 a.;,:! Date: September 6 1996 Amount: $36,875.00 DESCRIPTION OF ITEM OR SERVICE contract#: VCHC-4.0-EPI-UPDATE Payment covering Invoice (Initial/Number/Final) Funds Withheld Prior to Final (Number or Time Period) Original Amount Authonzed Additions Via Amendments _________ Total Amount Authorized Less Previous Payments $346,225.00 _________ $214.545.00 Current Balance $131,680.00 This Payment New Balance __________ S36.875.00 $94,805.00 AMOUNT $36,875.00 Does any of the total represent a lobbying expenditure? Yes: Date Requested: G/L Account No. Requested By:Has Shah Approved By Director (Up to $5,000): Approved By Vice President (Up to $10,000):L. Spurlock Approved By President (Over $50,000): Additional Approval: Approval By Treasurer (Over$i0,000): Amount: 88710 . Executive Vice President (Over$io,oo0): NoV CMA112833 Revised 7/96 Note: Attach appropriate supporting documentation and atter obtaining approvals, forward to accounting. You should retain a copy for your records. kreq.frp/