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[]
[]
["INVOICE No. (max 16)",null,null,null,null,null,null,null,null,null,null,null,"COUNTY OF SANTA CRUZ",null,null,null,null,null,null,null,null,"CLAIMANT",null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"LEN(G3)","v":0},{"$f":"IF(AJ3>16,\"Invoice must be 16 characters or less\",\"Invoice Length\")","v":"Invoice Length"}]
["DATE",null,null,null,null,null,null,null,null,null,null,null,"EMPLOYEE REIMBURSEMENT CLAIM",null,null,null,null,null,null,null,null,"WORKSITE",null,null,null,null,null,null,null,null,null,null,null,null,null,"Invoice No. : "," Use an abbreviated description of the meeting and date or month, \nmax 16 characters, for example Invoice:  CSDA March 15"]
["VENDOR ID E6+EE#",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DEPT",null,null,null,null,null,null,null,null,"PHONE"]
["TOTAL CLAIM",null,null,null,null,null,{"$f":"+V15","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"REVIEWED BY",null,null,null,null,null,null,null,null,"PHONE"]
[]
["GL KEY (6)",null,null,"GL OBJ (5)",null,null,"JL KEY",null,null,"JL OBJ",null,null,"DESCRIPTION OF EXPENSE",null,null,null,null,null,null,null,null,"AMOUNT",null,null,"OBJECT TITLE:"]
[]
[null,null,null,62826,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Education / Training",null,null,null,null,null,null,null,null,null,null,{"$f":"LEN(M10)","v":0},{"$f":"IF(AJ10>30,\"Description must be 30 characters or less\",\"Description Length\")","v":"Description Length"}]
[{"$f":"IF(V11=0,\"\",$A$10)","v":""},null,null,62010,null,null,null,null,null,null,null,null,{"$f":"IF(AJ10>30,\"maximum characters 30\",IF(V11=0,\"\",$M$10))","v":""},null,null,null,null,null,null,null,null,null,null,null,"EE Certification and Licenses"]
[{"$f":"IF(V12=0,\"\",$A$10)","v":""},null,null,62020,null,null,null,null,null,null,null,null,{"$f":"IF(AJ11>30,\"maximum characters 30\",IF(V12=0,\"\",$M$10))","v":""},null,null,null,null,null,null,null,null,null,null,null,"Memberships"]
[{"$f":"IF(V13=\"\",\"\",$A$10)","v":""},null,null,62215,null,null,null,null,null,null,null,null,{"$f":"IF(V13=\"\",\"\",$M$10)","v":""},null,null,null,null,null,null,null,null,null,null,null,"Books"]
["",null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(V14=\"\",\"\",$M$10)","v":""},null,null,null,null,null,null,null,null,null,null,null,"Other",null,null,{"$f":"IFERROR(VLOOKUP(D14,AJ15:AK16,2,FALSE),\"\")","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,"TOTAL REIMBURSEMENT",null,null,null,null,null,null,null,null,{"$f":"SUM(V10:X14)","v":0}]
[]
["INSTRUCTIONS TO CLAIMANTS",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SIGNATURES - SEE CERTIFICATIONS BELOW"]
["1.","EACH CLAIM MUST BE ITEMIZED, showing names, dates service rendered, character of work  done, number of days, supplies furnished, etc. (California Government Code.)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CLAIMANT",null,null,null,null,null,null,null,null,null," DATE"]
["2.","EACH Claim MUST be certified to by claimant (after which the proper authority ordering the delivery of articles or performance of services must also certify before being filed with the County Auditor for allowance)."]
["3.","Claimants performing services for supply articles to two or more county departments MUST submit a separate claim for each department.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SUPERVISOR",null,null,null,null,null,null,null,null,null," DATE"]
["4."," No claims will be audited or ALLOWED unless or until the above requirements are fulfilled."]
["5.","Claims should be filed with the County Auditor at least one week preceding the week in which the claim is to be approved by the Board of Supervisors. ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DEPARTMENT HEAD",null,null,null,null,null,null,null,null,null," DATE"]
[]
["CERTIFICATION OF SIGNERS"]
["By signing the claim on the reverse side of this document, the signators in their respective capacities agree to the following statements:"]
["CLAIMANT"]
["The claimant, under penalty of perjury states:  That the items on the reverse side and the items as therein set out are true and correct; that no part thereof has been heretofore paid, and that the amount therein is justly due, and that the claim is presented within one year after the last item thereof has accrued.  (Note: Signature required)"]
[]
[]
["DEPARTMENT HEAD"]
["I hereby certify, under penalty of perjury, and upon my own personal knowledge that the articles or services specified on this claim for payment and/or as shown on any attached invoice(s) was(were) necessary and was(were) ordered by me for use by the department and for the purpose indicated above, that the item(s) billed has been delivered, or services performed or contracted for, except as otherwise indicated in remarks above, that no, part thereof has been previously paid, and that I have not violated any of the provisions of Art.4, Title 1, Div. 4, of the Government Code of the State of California."]
[]
[]
[]
[]
["AUD-7b (rev 7/2018)"]

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["1.","EACH CLAIM MUST BE ITEMIZED, showing names, dates service rendered, character of work  done, number of days, supplies furnished, distances traveled, etc. (California Government Code.)"]
[]
["2.","EACH Claim MUST be certified to by claimant (after which the proper authority ordering the delivery of articles or performance of services must also certify before being filed with the County Auditor for allowance)."]
[]
["3.","Claimants performing services for supply articles to two or more county departments MUST submit a separate claim for each department."]
[]
["4."," No claims will be audited or ALLOWED unless or until the above requirements are fulfilled."]
["5.","Claims should be filed with the County Auditor at least one week preceding the week in which the claim is to be approved by the Board of Supervisors. "]

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