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U.S. ENVIRONMENTAL PROTECTION AGENCY
CONTRACT NO.
ORDER NO .
NOTICE OF ADMINISTRATIVE EXCEPTION
PERIOD COVERED
1321384
INVOICE NUMBER
AMOUNT CLAIMED
AMOUNT PAID
FROM 17/76 TO: 2/18/ 76
$ 166.25
15 58.75
ADVANCE APPLIED
ADVANCE OUTSTAND-
ING
DR. um. early
(Return the original of this
form with the enclosed
voucher or your reclaim
The nutrition Foundation
whichever is applicable . )
489 Filth ave.
new york, new york 10017
following reasons:
This notice is to advise that incident to audit of the above referenced claim, $ 1(8 . 0 0
has been deducted for the
ITEM
EXPLANATION
1/ SUSPENDED
2 DISAPPROVED
a receipt is required
for your airfare
since you paid for
your ouin ticket.
108.80
claimed 10800
Allowed none
Suspended items are amounts which appear questionable and require further information and/ or justification to support your
claim.
Suspended items may be reclaimed in a supplemental voucher, or on your next voucher or invoice by furnishing the required
information or justification.
Disapproved items are amounts which according to Law, Regulation, or Comptroller General Decision cited above, have been
considered to be not allowable.
If you do not concur with the reason for disapproved items, communicate directly with the accountant in charge or F.M.O. of
your servicing accounting point in writing along with an attached reclaim voucher.
VOUCHER EXAMINER (Signature)
maria Vonetes
LOCATION OF FINANCE OFFICE
DATE
EPA Form 2500-1 (Rev. 6-74)
2/ 17/ 27
PREVIOUS EDITION MAY BE USED UNTIL SUPPLY IS EXHAUSTED .

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