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] INSTRUCTIONS FOR PREPARIN
INSTRUCTIONS Alb VOUCHER
PREPARINGG STATE AID VUVLne
or Federal Tax 1D Number, which
In section 2 - the “Payee ID” block, enter your NYS Vendor ID Number
can be found on the face page of the contract.
and the municipality name
In section 4 — the “Payee Name” block, enter the title of the fiscal officer
and address as you wish it to appear on the check/deposit.
need to identify this payment (ex.
In section 5 — the “Rev/Inv. No.” block, enter the information you will
etc. The check/deposit stub
CSC C001234). Do not exceed 20 characters including spaces, commas,
with the Reference/Invoice
issued to you will contain the information you furnish in this block, along
Date, if entered in the block below.
the specific column heading or any
in the body of voucher, enter all pertinent information required by
location, and total. Line item
other information required to support the claim. Include project name,
on the summary sheets;
details are not necessary in the Description of Charges Block as they appear
should appear in this block.
however, a short summary, no longer than the space allowed,
Vehicle Program contracts,
State aid Claimed for Climate Smart Communities is 50%. For Zero Emission
ucture) or rebate amount {clean
please see the contract for the state assistance percentage (infrastr
vehicle rebate).
The Net Total should equal the TOTAL reimbursement requested.
Line in the State Aid Program or
Enter Environmental Protection Fund, Climate Smart Communities
Applicable Statute block.
or duly authorized
Complete Payee Certification. Signature and title of the municipal officer,
declarati on in ink - No Rubber Stamp.
representative, must appear in the space provided. Sign