461x Filetype XLSX File size 0.04 MB Source: www.oregon.gov
Sheet 1: Totals
| THIS SECTION TO BE COMPLETED BY THE RESPONDING JURISDICTION | |||||||||
| Requesting Agency Tracking # | EMW 18-004 | Responding Agency Tracking # | 2018-1578 | ||||||
| ESTIMATED COSTS TO PROVIDE ASSISTANCE | |||||||||
| Total Costs from Each Category (Spreadsheet Tab) Should Auto-Populate Below: | |||||||||
| Total Travel Expenses: | $2,200.00 | ||||||||
| Total Equipment Costs: | $15,000.00 | ||||||||
| Total Commodities Costs: | $150.00 | ||||||||
| Total Other Costs: | $7,500.00 | ||||||||
| Total Personnel Costs: | $5,360.00 | ||||||||
| Grand Total Costs: | $30,210.00 | ||||||||
| Notes: | |||||||||
| THIS SECTION TO BE COMPLETED BY THE RESPONDING JURISDICTION | |||||||
| Requesting Agency Tracking # | EMW 18-004 | Responding Agency Tracking # | 2018-1578 | ||||
| TRAVEL ESTIMATED COSTS | |||||||
| Insert Total Costs from Each Category Below: | |||||||
| Total Personal Vehicle Expenses: | $- | Total Rental Vehicle Expenses: | $- | ||||
| Total Government Vehicle Expenses: | $250.00 | Total Air Travel Expenses: | $- | ||||
| Total Meals (Receipted) Expenses: | $- | Total Meals (Per Diem) Expenses: | $150.00 | ||||
| Total Lodging: | $1,800.00 | Total Parking Fee Expenses: | $- | ||||
| Total Shipment & Transportation Expenses: | $- | Total Travel Costs from All Categories: | $2,200.00 | ||||
| Identify Any Transportation Requirements or Other Comments Concerning Travel: | |||||||
| THIS SECTION TO BE COMPLETED BY THE RESPONDING JURISDICTION | |||||||||
| Requesting Agency Tracking # | EMW 18-004 | Responding Agency Tracking # | 2018-1578 | ||||||
| EQUIPMENT ESTIMATED COSTS | |||||||||
| Total Equipment Cost: | $15,000.00 | ||||||||
| Number of Fuel Consuming Equipment: | Number of Non-Fuel Consuming Equipment: | ||||||||
| Enter Equipment Cost Details Below: | |||||||||
| Equipment Descriptions: | Cost: | ||||||||
| 1 | Big Fire Truck | 10000 | |||||||
| 2 | Blue Car | 5000 | |||||||
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