1. (a) An owner or applicant submitting a reimbursement request shall provide an invoice summary that lists each contractor invoice and includes the following information:

   1. (1) A page header including the department site number, project number, site/project name, and reimbursement request number;

   2. (2) For each invoice:

      1. a. Contractor invoice number and date;
      2. b. The department work scope and budget approval date, if applicable;
      3. c. The department phase and class code;
      4. d. Contractor name, and if applicable, subcontractor name;
      5. e. Summary description of work for each phase and class;
      6. f. Work scope budget amount;
      7. g. Payment amount requested; and
      8. h. Work scope budget balance, if any; and
   3. (3) The total work scope budget and budget balance, and total amount requested.

Source. #8491, eff 11-22-05; ss by #9935-B, eff 9-1-11, EXPIRED: 9-1-19 New. #12942, eff 12-15-19