The Invoice Summary Page is the first worksheet of the Financial Reimbursement Workbook. This sheet asks for basic information about your grant and grant administration, and sums the detail data you will provide on the subsequent sheets.

When submitting your Reimbursement Packet, you must include a signed hard copy of the Invoice Summary Page.

Only fields whose title areas below are bolded need be completed (these are shaded green on the worksheet). All other fields, italicized, are either calculated or fixed (these are shaded blue on the worksheet).

Program Name: Enter the name or title as agreed upon by the Sponsoring Department and the Sub-Recipient. This usually is outlined in the Contract or Memorandum of Agreement signed by involved parties.

Contract Reference Number: Enter the number assigned to the contract at the beginning of your contract period to the Program Name. If you are unsure of your Contract Reference Number, please contact your Sponsoring Department.

Contractor Name: Enter the name of your organization, or if you are a sole proprietor/individual, your name.

FIN/SSN: Enter your organization's Federal Identification Number, or if you are a sole proprietor/individual, your Social Security Number. Do not enter any spaces or dashes - only numbers.

Contract Start Date: Enter the Start Date of entire contract period.

Contract End Date: Enter the End Date of entire contract period.

Total Contract Amount: Enter total amount committed to you for the entire contract period for this Program.

Amount Billed to Date: Enter the total amount you have billed to date, not including the current request.

Total Reimbursement Req: The total amount of the current reimbursement request. This field auto-populates once the subsequent detail pages are completed.

Is this the Final Invoice?: Designate whether or not this is the final invoice for payment/reimbursement under this Program.

Indirect Rate: Enter the Indirect Rate as agreed to at the beginning of your contract. A cost allocation plan or schedule must be on file with the City of Boston for Indirect Rates to be reimbursed. Note: Indirect Costs will not be reimbursed without an approved plan or schedule.

Summary Data: This area summarizes all the data in the format required for Auditing and reimbursement purposes. These fields auto-populate from the subsequent Detail pages.

Original Receipt and Invoice Certification: You will be submitting copies of receipts and invoices to document how you have expended your award. You will keep your original receipts and invoices at your office. Complete this section to certify that you will maintain the original records for at least seven (7) years for audit purposes. Indicate the name of the person and organization responsible for maintaining these documents, and address where the records will be accessible for audit purposes. An authorized signature and date are also required.

Signature/Certification: The Preparer and Authorized Signer should provide their Name, Phone, Email, and sign and date the form.