{"text_format":"1","workbook":"xlsx","n_sheets":30,"sheets":["Application","Affidavit","Invoice Summary","Subsequent (1)","S2","S3","S4","S5","S6","S7","S8","S9","S10","S11","S12","S13","S14","S15","Resubmittal (1)","R2","R3","R4","R5","R6","R7","R8","R9","R10","IDEM Summary","Reference Data"],"not_rendered":{"charts":0,"images":19,"macros":1,"external_links":0,"defined_names":70,"comments":15,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Application","index":0,"n_rows":128,"n_cols":11,"rows_kept":128,"cut":false,"hidden":false,"merged":[[124,5,124,6],[73,6,73,7],[2,2,2,5],[4,0,4,7],[7,0,7,7],[37,2,37,7],[122,5,122,7],[123,5,123,7],[56,6,56,7],[27,4,27,7],[56,2,56,4],[30,4,30,7],[73,2,73,4],[69,6,69,7],[57,2,57,4],[22,6,22,7],[28,4,28,7],[10,5,10,6],[17,0,17,3],[63,6,63,7],[64,2,64,4],[64,6,64,7],[72,6,72,7],[33,0,33,7],[1,6,1,7],[11,0,11,4],[11,5,11,7],[12,0,12,4],[12,5,12,6],[13,0,13,7],[16,0,16,3],[16,4,16,7],[19,0,19,3],[19,4,19,7],[10,0,10,4],[18,4,18,7],[0,2,1,5],[14,0,14,3],[15,0,15,3],[5,10,5,22],[5,0,5,7],[8,0,8,4],[8,5,8,7],[9,0,9,4],[9,5,9,6],[117,5,117,6],[118,1,118,2],[118,5,118,6],[14,4,14,7],[15,4,15,7],[21,0,21,7],[17,4,17,7],[20,0,20,7],[18,0,18,3],[72,2,72,4],[29,4,29,7],[57,6,57,7],[24,0,24,3],[25,0,25,3],[24,4,24,7],[25,4,25,7],[59,6,60,7],[63,2,63,4],[77,2,77,4],[81,6,81,7],[89,0,89,7],[28,0,28,3],[30,0,30,3],[26,0,26,7],[32,0,32,4],[75,2,75,3],[44,2,44,4],[79,6,79,7],[22,0,22,5],[23,0,23,5],[86,2,87,5],[123,0,123,4],[127,0,127,7],[108,1,108,2],[108,5,108,6],[109,1,109,2],[109,5,109,6],[110,1,110,2],[110,5,110,6],[111,1,111,2],[111,5,111,6],[112,1,112,2],[112,5,112,6],[113,1,113,2],[113,5,113,6],[114,1,114,2],[114,5,114,6],[115,1,115,2],[115,5,115,6],[116,1,116,2],[116,5,116,6],[117,1,117,2],[124,0,124,4],[125,0,125,4],[125,5,125,6],[0,8,2,8],[97,1,97,2],[97,5,97,6],[98,1,98,2],[98,5,98,6],[99,1,99,2],[99,5,99,6],[100,1,100,2],[100,5,100,6],[92,1,92,2],[92,5,92,6],[93,1,93,2],[93,5,93,6],[94,1,94,2],[94,5,94,6],[95,1,95,2],[41,2,41,7],[45,2,45,7],[46,2,46,7],[49,2,49,4],[23,6,23,7],[105,7,106,7],[38,2,38,7],[40,2,40,7],[42,2,42,7],[121,0,121,7],[107,5,107,6],[107,1,107,2],[66,2,66,7],[79,0,79,5],[80,1,80,3],[82,1,82,3],[81,0,81,5],[84,2,85,7],[95,5,95,6],[96,1,96,2],[96,5,96,6],[102,1,102,2],[102,5,102,6],[103,1,103,2],[103,5,103,6],[90,0,90,7],[104,0,104,7],[101,1,101,2],[101,5,101,6]]}
[null,null,"EXCESS LIABILITY TRUST FUND APPLICATION FOR UST DECOMMISSIONING OR REPLACEMENT COSTS",null,null,null,"Facility ID Number",null,"Macros must be enabled to use the form."]
[null,null,null,null,null,null,"TO BE COMPLETED BY IDEM"]
[null,null,"State Form 57322 (R4 / 6-25)                                                                                                                                    INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT      ",null,null,null,"ELTF Control Number"]
[null,null,null,null,null,null,"Date Submitted "]
[]
["INSTRUCTIONS: This form must be submitted when applying for a reimbursement request for costs incurred for UST decommissioning and/or replacement.  Applications will not be processed that contain incomplete information (all fields on this application must be completed) or do not contain the required forms/pages and supporting documentation as described in the INSTRUCTIONS for completing the application.  Do not include complete social security numbers on any portion of the application, including backup documentation."]
["TO BE COMPLETED BY APPLICANT"]
["SECTION 1 - APPLICANT INFORMATION (OWNER)"]
["Name of Applicant",null,null,null,null,"Please enter a Tax ID Number or Social Security Number."]
[null,null,null,null,null,"Tax ID Number:",null,null,null,null,{"$f":"IF(ISBLANK(H11),H10,H11)","v":0}]
["Mailing Address (Number and Street) ",null,null,null,null,"SSN (last 4 digits):"]
[null,null,null,null,null,"Social Security Number Included in Backup Documents?",null,null,null,false,{"$f":"IF(AND(J12=FALSE,J13=FALSE),\"Blank\",\"\")","v":"Blank"}]
["Mailing Address (Line 2)",null,null,null,null,null,null,null,null,false]
[]
["City, State, Zip Code",null,null,null,"Owner # of Tanks"]
[null,null,null,null,null,null,null,null,null,false]
["Applicant Contact",null,null,null,"Contact Title",null,null,null,null,false]
[null,null,null,null,null,null,null,null,null,null,{"$f":"IF(AND(J16=FALSE,J17=FALSE),\"Blank\",\"\")","v":"Blank"}]
["Contact E-mail Address ",null,null,null,"Contact Telephone Number (with Area Code)"]
[]
[]
["SECTION 2 -SITE INFORMATION"]
["Name of Facility",null,null,null,null,null,"# of USTs currently on site"]
[]
["Facility Address (Number and Street)",null,null,null,"City, State, Zip Code"]
[]
["SECTION 3 - CLAIM PREPARER CONTACT INFORMATION "]
["Name of Contact Person Concerning Claim Issues",null,null,null,"Contact Company Name"]
[]
["Contact E-mail Address ",null,null,null,"Contact Telephone Number (with area code)"]
[null,null,null,null,null,null,null,null,null,false]
[]
[]
["SECTION 4 - REIMBURSEMENT REQUESTS",null,null,null,null,null,null,null,null,false]
[]
["Identify the Type of Claim Application (Select all that apply.)"]
[]
[null,null,"Decommissioning Claim Application "]
[null,null,"○ Closure Report must be Approved for these costs to be eligible for reimbursement."]
[]
[null,null,"Reinstallation Claim Application"]
[null,null,"○ Closure Report must be Approved for these costs to be eligible for reimbursement."]
[null,null,"○ State Form 45223 or 57335 must be completed to update the tanks in IDEM's database for these costs to be eligible for reimbursement"]
[]
[null,null,"Resubmittal of Decommissioning/Reinstallation Costs",null,null,null,null,null,null,false]
[null,null,"○ Closure Report must be Approved for these costs to be eligible for reimbursement.",null,null,null,null,null,null,false]
[null,null,"○  State Form 45223 must be completed to update the tanks in IDEM's database for these costs to be eligible for reimbursement"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,false]
[]
[]
[]
[]
[null,null,"Original Amount Requested:",null,null,null,"Claim Number Assigned By IDEM:"]
[null,null," ",null,null,null," "]
[]
[null,null,null,null,null,null,null,null,null,false]
[]
[]
[]
[null,null,"Original Amount Requested for Denied Costs:",null,null,null,"Claim Number Assigned By IDEM:"]
[null,null," ",null,null,null," "]
[]
[]
[]
[]
[]
[]
[]
[null,null,"Original Amount Requested for Denied Costs:",null,null,null,"Claim Number Assigned By IDEM:"]
[null,null," ",null,null,null," "]
[]
[null,null,"Complete Claim Resubmittal"]
[]
[null,null,"Final Claim"]
["AUTOPOPULATES FROM INVOICE SUMMARY"]
["Total Requested Amount from the Attached \"Pay Requests\" (including resubmitted costs if applicable)",null,null,null,null,null,"50% of the Total Requested Amount (claim amount)"]
["$",{"$f":"'Invoice Summary'!F36","v":0},null,null,null,null,"$",{"$f":"'Invoice Summary'!G36","v":0}]
["Total Resubmitted Costs (if applicable)"]
["$",{"$f":"'Invoice Summary'!F35","v":0}]
[]
[null,null,"EXCESS LIABILITY TRUST FUND APPLICATION FOR UST DECOMMISSIONING OR REPLACEMENT COSTS"]
[null,null,null,null,null,null,null,null,null,false]
[null,null,"State Form 57322 (R4 / 6-25)                                                                                                                                          INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT             ",null,null,null,null,null,null,false]
[null,null,null,null,null,null,null,null,null,false]
[]
["TO BE COMPLETED BY APPLICANT (continued)"]
["SECTION 5 - UNDERGROUND STORAGE TANK DECOMMISSIONING"]
[]
["UST Number","Number of Compartments",null,"Total UST Capacity (including all compartments)","Date Installed","Date Closed",null,"Closure Type",null,false]
[]
[]
[null,null,null,null,null,null,null,null,null,false]
[]
[]
[null,null,null,null,null,null,null,null,null,false]
[]
[null,null,null,null,null,null,null,null,null,false]
[]
[]
[null,null,null,null,null,null,null,null,null,false]
["SECTION 6 - REGULATED STORAGE TANK INSTALLATION"]
["Were tanks installed in a different location than the tanks decommissioned? ",null,null,null,null,null,null,"If you answered yes to either of these questions, please include a reasonable and cost-effective justification with each claim submittal."]
["Installation done prior to decommissioning?"]
["Tank Number","Number of Compartments",null,"Total Tank Capacity (including all compartments)","Construction Material","Date Installed",null,"Date Brought into Use",null,false]
[]
[]
[null,null,null,null,null,null,null,null,null,false]
[]
[]
[null,null,null,null,null,null,null,null,null,false]
[]
[null,null,null,null,null,null,null,null,null,false]
[]
[]
[null,null,null,null,null,null,null,null,null,false]
[]
["SECTION 7 - SIGNATURE OF OWNER OF THE TANK(S) OR ATTORNEY IN FACT"]
["I swear or affirm to the best of my knowledge and belief that the costs presented herein represent the reimbursable costs actually incurred in the performance of UST decommissioning or replacement related to this site during the period of time indicated on this application. I swear or affirm that all charges presented as part of this application were necessary to the performance of UST decommissioning or replacement.  I also swear that I have not altered the calculations in this electronic form.  I understand that pursuant to Indiana Code 13-23-9-6, I may be subject to criminal prosecution for submitting false and/or inaccurate information on this application. I also understand that all submitted information will be retained in the Virtual File Cabinet as a public record.     Please check the box below and submit proper documentation if signing under a Power of Attorney for the owner."]
["Signature of Owner of the Tanks or ",null,null,null,null,"Date Signed (month/day/year)"]
[null,null,null,null,null,null,null,null,null,false]
["Print Name",null,null,null,null,"Title",null,"Company",null,false]
[]
[]
["SUBMITTAL INSTRUCTIONS:  Submit ELTF claim applications electronically via e-mail to ELTFQuestions@idem.IN.gov.  Please submit one PDF copy and one Excel file in XLSX format.  The e-mail/documents should be labeled as follows:                                                                                                       Subject line: ELTF Claim: FID# XXXXX                                                                                                                                                                                                                                                                  Save Document: ELTF_(insert Fac ID#)_(yyyymmdd)\n"]

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["INDIANA PETROLEUM STORAGE TANK"]
["EXCESS LIABILITY TRUST FUND"]
[]
[]
[null,"STATE OF"]
[]
[null,"COUNTY OF ",null,null,null,null,null,"} SS:"]
[]
[null,"AFFIDAVIT REGARDING PAYMENT OF COSTS",null,null,null,null,null,"Facility ID #",null,null,{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""}]
[]
[null,null,null,null,null,", being of sound mind and majority, and being duly"]
[]
[null,"cautioned and sworn in accordance with law (in accordance with IC 13-23-9-6, I may be subject to criminal prosecution for the knowing and intentional submission of false statements in this affidavit), make the following statement based upon personal information and under penalty of perjury:"]
[null,"1.","I certify that I am the applicant or that I have been duly authorized to sign this affidavit on behalf of the applicant submitting a claim for the UST decommissioning or replacement for the facility ID number listed above to the Indiana Excess Liability Trust Fund. I have obtained all necessary or applicable approvals for such authorization."]
[]
[]
[]
[]
[null,"2.","Per 328 IAC 1-3-5, all costs incurred and/or paid for work performed in the identified  claim are reflected in the attached invoice summary listing and pay requests.  All costs reflected in the attached invoice summary listing and pay requests were incurred and/or paid for costs related to UST decommissioning/replacement.\nPer 328 IAC 1-5-1 (c), proof of payment documentation is and will be maintained on file for a minimum of four (4) years after the date the application for payment was submitted.\nCredits, rebates, refunds or other similar payments or inducements made to the owner or received by the owner have been subtracted from the costs submitted for reimbursement."]
[]
[null,"3.","The following is a correct business address and telephone number at which I can be reached:"]
[]
[]
["Company",null,null,null,null,null,null,"Title",null,null,"E-mail Address"]
[" ",null,null,null,null,null,null,null,null,null," "]
["Address (number and street or rural route)",null,null,null,null,null,null,null,null,null,"Telephone number"]
[" ",null,null,null,null,null,null,null,null,null," "]
["City",null,null,null,null,null,null,"State",null,null,"ZIP code"]
[" ",null,null,null,null,null,null,null,null,null," "]
["Signature of affiant",null,null,null,null,null,null,null,null,null,"Date signed (month/day/year)"]
[null,null,null,null,null,null,null,null,null,null," "]
[]
[null,"STATE OF"]
[]
[null,"COUNTY OF ",null,null,null,null,null,"} SS:"]
[]
[null,null,null,"Sworn to and subscribed in my presence this ",null,null,null,null,null,"day of ",null,","]
[null,null,null,20]
[]
["Signature of Notary Public",null,null,null,null,null,null,"County of residence"]
[]
["Printed or typed name of Notary Public",null,null,null,null,null,null,"Date commission expires (month/day/year)"]
[]
[]
["* The Indiana Department of Environmental Management reserves the right to require cancelled checks as proof of payment at any time."]
[]
["This form may not be altered. The Indiana Department of Environmental Management reserves the right to deny any application that is submitted with an altered affidavit."]
[]
[]
["The Notary Seal must be included and must be legible when copied."]

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["INVOICE SUMMARY"]
["INSTRUCTIONS:","The following summary represents all invoices which reflect costs incurred during UST decommissioning or replacement.  The list will be utilized to verify that all costs represented on the accompanying pay request forms have been presented in an original invoice.  Proof of payment should be represented by canceled check or affidavit.  Do not include social security numbers on any portion of your claim submittal.  "]
[]
[]
["Name of Applicant",null,"Facility ID Number",null,"Proof of Payment"]
[{"$f":"IF(ISBLANK(Application!$A$10),\"\",Application!$A$10)","v":""},null,{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,"Pay Request Numbers",null,null,"Check boxes to Activate Worksheets"]
["NAME OF VENDOR (Subsequent Claims should be entered first and followed by Resubmittals.)",null,"INVOICE NUMBER","Type","TOTAL INVOICE AMOUNT","REQUESTED AMOUNT","50% of Requested Amount",null,"Vendor","Invoice #"]
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[null,null,null,null,null,{"$f":"IF('S3'!$I$112>0,'S3'!$I$112,\"\")","v":""},"",3,0,0,"S3",null,null,null,null,null,null,0]
[null,null,null,null,null,{"$f":"IF('S4'!$I$112>0,'S4'!$I$112,\"\")","v":""},"",4,0,0,"S4",null,null,null,null,null,null,0]
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[null,null,null,null,null,{"$f":"IF('S6'!$I$112>0,'S6'!$I$112,\"\")","v":""},"",6,0,0,"S6",null,null,null,null,null,null,0]
[null,null,null,null,null,{"$f":"IF('S7'!$I$112>0,'S7'!$I$112,\"\")","v":""},"",7,0,0,"S7",null,null,null,null,null,null,0]
[null,null,null,null,null,{"$f":"IF('S8'!$I$112>0,'S8'!$I$112,\"\")","v":""},"",8,0,0,"S8",null,null,null,null,null,null,0]
[null,null,null,null,null,{"$f":"IF('S9'!$I$112>0,'S9'!$I$112,\"\")","v":""},"",9,0,0,"S9",null,null,null,null,null,null,0]
[null,null,null,null,null,{"$f":"IF('S10'!$I$112>0,'S10'!$I$112,\"\")","v":""},"",10,0,0,"S10",null,null,null,null,null,null,0]
[null,null,null,null,null,{"$f":"IF('S11'!$I$112>0,'S11'!$I$112,\"\")","v":""},"",11,0,0,"S11",null,null,null,null,null,null,0]
[null,null,null,null,null,{"$f":"IF('S12'!$I$112>0,'S12'!$I$112,\"\")","v":""},"",12,0,0,"S12",null,null,null,null,null,null,0]
[null,null,null,null,null,{"$f":"IF('S13'!$I$112>0,'S13'!$I$112,\"\")","v":""},"",13,0,0,"S13",null,null,null,null,null,null,0]
[null,null,null,null,null,{"$f":"IF('S14'!$I$112>0,'S14'!$I$112,\"\")","v":""},"",14,0,0,"S14",null,null,null,null,null,null,0]
[null,null,null,null,null,{"$f":"IF('S15'!$I$112>0,'S15'!$I$112,\"\")","v":""},"",15,0,0,"S15",null,null,null,null,null,null,0]
["Subsequent Totals (Resubmittals only under this line.)",null,null,null,{"$f":"SUM(E9:E23)","v":0},{"$f":"SUM(F9:F23)","v":0},{"$f":"SUM(G9:G23)","v":0},"Resub Numbers"]
[null,null,null,null,null,{"$f":"IF('Resubmittal (1)'!$F$66>0,'Resubmittal (1)'!$F$66,\"\")","v":""},{"$f":"IF(ISNUMBER(F25),F25*0.5,\"\")","v":""},1,{"$f":"A25","v":0},0,"Resubmittal (1)"]
[null,null,null,null,null,{"$f":"IF('R2'!$F$66>0,'R2'!$F$66,\"\")","v":""},{"$f":"IF(ISNUMBER(F26),F26*0.5,\"\")","v":""},2,0,0,"R2"]
[null,null,null,null,null,{"$f":"IF('R3'!$F$66>0,'R3'!$F$66,\"\")","v":""},"",3,0,0,"R3"]
[null,null,null,null,null,{"$f":"IF('R4'!$F$66>0,'R4'!$F$66,\"\")","v":""},"",4,0,0,"R4"]
[null,null,null,null,null,{"$f":"IF('R5'!$F$66>0,'R5'!$F$66,\"\")","v":""},"",5,0,0,"R5"]
[null,null,null,null,null,{"$f":"IF('R6'!$F$66>0,'R6'!$F$66,\"\")","v":""},"",6,0,0,"R6"]
[null,null,null,null,null,{"$f":"IF('R7'!$F$66>0,'R7'!$F$66,\"\")","v":""},"",7,0,0,"R7"]
[null,null,null,null,null,{"$f":"IF('R8'!$F$66>0,'R8'!$F$66,\"\")","v":""},"",8,0,0,"R8"]
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[null,null,null,null,null,{"$f":"IF('R10'!$F$66>0,'R10'!$F$66,\"\")","v":""},"",10,0,0,"R10"]
["Resubmittal Totals",null,null,null,{"$f":"SUM(E25:E34)","v":0},{"$f":"SUM(F25:F34)","v":0},{"$f":"SUM(G25:G34)","v":0}]
[null,null,null,"Grand Totals",{"$f":"SUM(E24+E35)","v":0},{"$f":"SUM(F24+F35)","v":0},{"$f":"SUM(G24+G35)","v":0}]

{"sheet":"Subsequent (1)","index":3,"n_rows":113,"n_cols":29,"rows_kept":113,"cut":false,"hidden":false,"merged":[[0,31,0,47],[2,0,2,11],[1,31,2,32],[1,33,2,35],[1,36,2,39],[1,40,2,43],[0,0,0,11],[1,44,2,46],[1,47,2,47],[4,44,4,46],[4,0,4,1],[8,7,8,11],[9,7,9,11],[5,0,5,1],[4,31,4,32],[4,33,4,35],[4,36,4,39],[8,2,8,6],[9,2,9,6],[8,0,8,1],[9,0,9,1],[4,40,4,43],[112,8,112,11],[112,1,112,7],[7,2,7,11],[6,0,6,1],[8,25,8,26],[9,25,9,26],[110,0,110,6],[111,0,111,6]]}
[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 1"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
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["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
["Invoice Number",null,"Name of Applicant",null,null,null,null,"Name of Vendor",null,null,null,null,null,null,null,null,{"$f":"IF(Q8=FALSE,0,1)","v":0},{"$f":"IF(R8=FALSE,0,1)","v":0},{"$f":"IF(S8=FALSE,0,1)","v":0},{"$f":"IF(T8=FALSE,0,1)","v":0},{"$f":"IF(U8=FALSE,0,1)","v":0},"Cler",{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$I$13:$I$110)","v":0},null,"Total $ of Added Lines",null,{"$f":"SUM(I34:I110)","v":0}]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!A10","v":0},null,null,null,null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"Mileage",{"$f":"SUMIF($A$13:$A$110,\"Mileage\",$C$13:$C$110)","v":0},null,null,"Total $ of Sheet",null,{"$f":"I111","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",0]
["DESCRIPTION","TASK PERFORMED","UNITS","TYPE","UNIT COST","TOTAL W/O MARKUP OR TAX","TAX (NO MARKUP)","% MARK-UP","AMOUNT REQUESTED",null,"AMOUNT DISALLOWED","REF",null,"AMOUNT ELIGIBLE",null,null,"Automated Descriptor","Automated Unit Cost","Total Automated Unit Cost","Requested Unit Cost","Requested total w/o markup or tax","Requested Tax","Requested Markup"," Requested Total AMT","Lower Calculated Markup","Lower Calculated total w/ markup and tax","Lower Cost Final total","Amt Denied","Units Rounded"]
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["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 2"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
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[null,null,null,{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A109),1,VLOOKUP($A109,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q109,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 3"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($B8,'Reference Data'!$A$62:$C$68,2,FALSE)","v":1},"Inv","CAP","QM","NFA","ER","Tech",{"$f":"SUMIF($A$13:$A$110,\"Tech\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Tech\",$I$13:$I$110)","v":0},null,null,"Markup",{"$f":"VLOOKUP($B8,'Reference Data'!$A$62:$C$68,3,FALSE)","v":0}]
["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
["Invoice Number",null,"Name of Applicant",null,null,null,null,"Name of Vendor",null,null,null,null,null,null,null,null,{"$f":"IF(Q8=FALSE,0,1)","v":0},{"$f":"IF(R8=FALSE,0,1)","v":0},{"$f":"IF(S8=FALSE,0,1)","v":0},{"$f":"IF(T8=FALSE,0,1)","v":0},{"$f":"IF(U8=FALSE,0,1)","v":0},"Cler",{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$I$13:$I$110)","v":0},null,"Total $ of Added Lines",null,{"$f":"SUM(I34:I110)","v":0}]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!A10","v":0},null,null,null,null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"Mileage",{"$f":"SUMIF($A$13:$A$110,\"Mileage\",$C$13:$C$110)","v":0},null,null,"Total $ of Sheet",null,{"$f":"I111","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",2]
["DESCRIPTION","TASK PERFORMED","UNITS","TYPE","UNIT COST","TOTAL W/O MARKUP OR TAX","TAX (NO MARKUP)","% MARK-UP","AMOUNT REQUESTED",null,"AMOUNT DISALLOWED","REF",null,"AMOUNT ELIGIBLE",null,null,"Automated Descriptor","Automated Unit Cost","Total Automated Unit Cost","Requested Unit Cost","Requested total w/o markup or tax","Requested Tax","Requested Markup"," Requested Total AMT","Lower Calculated Markup","Lower Calculated total w/ markup and tax","Lower Cost Final total","Amt Denied","Units Rounded"]
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[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 4"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
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["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
["Invoice Number",null,"Name of Applicant",null,null,null,null,"Name of Vendor",null,null,null,null,null,null,null,null,{"$f":"IF(Q8=FALSE,0,1)","v":0},{"$f":"IF(R8=FALSE,0,1)","v":0},{"$f":"IF(S8=FALSE,0,1)","v":0},{"$f":"IF(T8=FALSE,0,1)","v":0},{"$f":"IF(U8=FALSE,0,1)","v":0},"Cler",{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$I$13:$I$110)","v":0},null,"Total $ of Added Lines",null,{"$f":"SUM(I34:I110)","v":0}]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!A10","v":0},null,null,null,null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"Mileage",{"$f":"SUMIF($A$13:$A$110,\"Mileage\",$C$13:$C$110)","v":0},null,null,"Total $ of Sheet",null,{"$f":"I111","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",3]
["DESCRIPTION","TASK PERFORMED","UNITS","TYPE","UNIT COST","TOTAL W/O MARKUP OR TAX","TAX (NO MARKUP)","% MARK-UP","AMOUNT REQUESTED",null,"AMOUNT DISALLOWED","REF",null,"AMOUNT ELIGIBLE",null,null,"Automated Descriptor","Automated Unit Cost","Total Automated Unit Cost","Requested Unit Cost","Requested total w/o markup or tax","Requested Tax","Requested Markup"," Requested Total AMT","Lower Calculated Markup","Lower Calculated total w/ markup and tax","Lower Cost Final total","Amt Denied","Units Rounded"]
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[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 5"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
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["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
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[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 6"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($B8,'Reference Data'!$A$62:$C$68,2,FALSE)","v":1},"Inv","CAP","QM","NFA","ER","Tech",{"$f":"SUMIF($A$13:$A$110,\"Tech\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Tech\",$I$13:$I$110)","v":0},null,null,"Markup",{"$f":"VLOOKUP($B8,'Reference Data'!$A$62:$C$68,3,FALSE)","v":0}]
["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
["Invoice Number",null,"Name of Applicant",null,null,null,null,"Name of Vendor",null,null,null,null,null,null,null,null,{"$f":"IF(Q8=FALSE,0,1)","v":0},{"$f":"IF(R8=FALSE,0,1)","v":0},{"$f":"IF(S8=FALSE,0,1)","v":0},{"$f":"IF(T8=FALSE,0,1)","v":0},{"$f":"IF(U8=FALSE,0,1)","v":0},"Cler",{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$I$13:$I$110)","v":0},null,"Total $ of Added Lines",null,{"$f":"SUM(I34:I110)","v":0}]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!A10","v":0},null,null,null,null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"Mileage",{"$f":"SUMIF($A$13:$A$110,\"Mileage\",$C$13:$C$110)","v":0},null,null,"Total $ of Sheet",null,{"$f":"I111","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",5]
["DESCRIPTION","TASK PERFORMED","UNITS","TYPE","UNIT COST","TOTAL W/O MARKUP OR TAX","TAX (NO MARKUP)","% MARK-UP","AMOUNT REQUESTED",null,"AMOUNT DISALLOWED","REF",null,"AMOUNT ELIGIBLE",null,null,"Automated Descriptor","Automated Unit Cost","Total Automated Unit Cost","Requested Unit Cost","Requested total w/o markup or tax","Requested Tax","Requested Markup"," Requested Total AMT","Lower Calculated Markup","Lower Calculated total w/ markup and tax","Lower Cost Final total","Amt Denied","Units Rounded"]
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[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 7"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
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["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
["Invoice Number",null,"Name of Applicant",null,null,null,null,"Name of Vendor",null,null,null,null,null,null,null,null,{"$f":"IF(Q8=FALSE,0,1)","v":0},{"$f":"IF(R8=FALSE,0,1)","v":0},{"$f":"IF(S8=FALSE,0,1)","v":0},{"$f":"IF(T8=FALSE,0,1)","v":0},{"$f":"IF(U8=FALSE,0,1)","v":0},"Cler",{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$I$13:$I$110)","v":0},null,"Total $ of Added Lines",null,{"$f":"SUM(I34:I110)","v":0}]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!A10","v":0},null,null,null,null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"Mileage",{"$f":"SUMIF($A$13:$A$110,\"Mileage\",$C$13:$C$110)","v":0},null,null,"Total $ of Sheet",null,{"$f":"I111","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",6]
["DESCRIPTION","TASK PERFORMED","UNITS","TYPE","UNIT COST","TOTAL W/O MARKUP OR TAX","TAX (NO MARKUP)","% MARK-UP","AMOUNT REQUESTED",null,"AMOUNT DISALLOWED","REF",null,"AMOUNT ELIGIBLE",null,null,"Automated Descriptor","Automated Unit Cost","Total Automated Unit Cost","Requested Unit Cost","Requested total w/o markup or tax","Requested Tax","Requested Markup"," Requested Total AMT","Lower Calculated Markup","Lower Calculated total w/ markup and tax","Lower Cost Final total","Amt Denied","Units Rounded"]
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[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 8"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
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["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
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["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",7]
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[null,null,null,{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A109),1,VLOOKUP($A109,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q109,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 9"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($B8,'Reference Data'!$A$62:$C$68,2,FALSE)","v":1},"Inv","CAP","QM","NFA","ER","Tech",{"$f":"SUMIF($A$13:$A$110,\"Tech\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Tech\",$I$13:$I$110)","v":0},null,null,"Markup",{"$f":"VLOOKUP($B8,'Reference Data'!$A$62:$C$68,3,FALSE)","v":0}]
["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
["Invoice Number",null,"Name of Applicant",null,null,null,null,"Name of Vendor",null,null,null,null,null,null,null,null,{"$f":"IF(Q8=FALSE,0,1)","v":0},{"$f":"IF(R8=FALSE,0,1)","v":0},{"$f":"IF(S8=FALSE,0,1)","v":0},{"$f":"IF(T8=FALSE,0,1)","v":0},{"$f":"IF(U8=FALSE,0,1)","v":0},"Cler",{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$I$13:$I$110)","v":0},null,"Total $ of Added Lines",null,{"$f":"SUM(I34:I110)","v":0}]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!A10","v":0},null,null,null,null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"Mileage",{"$f":"SUMIF($A$13:$A$110,\"Mileage\",$C$13:$C$110)","v":0},null,null,"Total $ of Sheet",null,{"$f":"I111","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",8]
["DESCRIPTION","TASK PERFORMED","UNITS","TYPE","UNIT COST","TOTAL W/O MARKUP OR TAX","TAX (NO MARKUP)","% MARK-UP","AMOUNT REQUESTED",null,"AMOUNT DISALLOWED","REF",null,"AMOUNT ELIGIBLE",null,null,"Automated Descriptor","Automated Unit Cost","Total Automated Unit Cost","Requested Unit Cost","Requested total w/o markup or tax","Requested Tax","Requested Markup"," Requested Total AMT","Lower Calculated Markup","Lower Calculated total w/ markup and tax","Lower Cost Final total","Amt Denied","Units Rounded"]
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[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 10"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
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["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
["Invoice Number",null,"Name of Applicant",null,null,null,null,"Name of Vendor",null,null,null,null,null,null,null,null,{"$f":"IF(Q8=FALSE,0,1)","v":0},{"$f":"IF(R8=FALSE,0,1)","v":0},{"$f":"IF(S8=FALSE,0,1)","v":0},{"$f":"IF(T8=FALSE,0,1)","v":0},{"$f":"IF(U8=FALSE,0,1)","v":0},"Cler",{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$I$13:$I$110)","v":0},null,"Total $ of Added Lines",null,{"$f":"SUM(I34:I110)","v":0}]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!A10","v":0},null,null,null,null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"Mileage",{"$f":"SUMIF($A$13:$A$110,\"Mileage\",$C$13:$C$110)","v":0},null,null,"Total $ of Sheet",null,{"$f":"I111","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",9]
["DESCRIPTION","TASK PERFORMED","UNITS","TYPE","UNIT COST","TOTAL W/O MARKUP OR TAX","TAX (NO MARKUP)","% MARK-UP","AMOUNT REQUESTED",null,"AMOUNT DISALLOWED","REF",null,"AMOUNT ELIGIBLE",null,null,"Automated Descriptor","Automated Unit Cost","Total Automated Unit Cost","Requested Unit Cost","Requested total w/o markup or tax","Requested Tax","Requested Markup"," Requested Total AMT","Lower Calculated Markup","Lower Calculated total w/ markup and tax","Lower Cost Final total","Amt Denied","Units Rounded"]
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[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 11"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
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["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
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["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",10]
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[null,null,null,{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A109),1,VLOOKUP($A109,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q109,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 12"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($B8,'Reference Data'!$A$62:$C$68,2,FALSE)","v":1},"Inv","CAP","QM","NFA","ER","Tech",{"$f":"SUMIF($A$13:$A$110,\"Tech\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Tech\",$I$13:$I$110)","v":0},null,null,"Markup",{"$f":"VLOOKUP($B8,'Reference Data'!$A$62:$C$68,3,FALSE)","v":0}]
["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
["Invoice Number",null,"Name of Applicant",null,null,null,null,"Name of Vendor",null,null,null,null,null,null,null,null,{"$f":"IF(Q8=FALSE,0,1)","v":0},{"$f":"IF(R8=FALSE,0,1)","v":0},{"$f":"IF(S8=FALSE,0,1)","v":0},{"$f":"IF(T8=FALSE,0,1)","v":0},{"$f":"IF(U8=FALSE,0,1)","v":0},"Cler",{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$I$13:$I$110)","v":0},null,"Total $ of Added Lines",null,{"$f":"SUM(I34:I110)","v":0}]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!A10","v":0},null,null,null,null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"Mileage",{"$f":"SUMIF($A$13:$A$110,\"Mileage\",$C$13:$C$110)","v":0},null,null,"Total $ of Sheet",null,{"$f":"I111","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",11]
["DESCRIPTION","TASK PERFORMED","UNITS","TYPE","UNIT COST","TOTAL W/O MARKUP OR TAX","TAX (NO MARKUP)","% MARK-UP","AMOUNT REQUESTED",null,"AMOUNT DISALLOWED","REF",null,"AMOUNT ELIGIBLE",null,null,"Automated Descriptor","Automated Unit Cost","Total Automated Unit Cost","Requested Unit Cost","Requested total w/o markup or tax","Requested Tax","Requested Markup"," Requested Total AMT","Lower Calculated Markup","Lower Calculated total w/ markup and tax","Lower Cost Final total","Amt Denied","Units Rounded"]
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[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 13"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
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["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
["Invoice Number",null,"Name of Applicant",null,null,null,null,"Name of Vendor",null,null,null,null,null,null,null,null,{"$f":"IF(Q8=FALSE,0,1)","v":0},{"$f":"IF(R8=FALSE,0,1)","v":0},{"$f":"IF(S8=FALSE,0,1)","v":0},{"$f":"IF(T8=FALSE,0,1)","v":0},{"$f":"IF(U8=FALSE,0,1)","v":0},"Cler",{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$I$13:$I$110)","v":0},null,"Total $ of Added Lines",null,{"$f":"SUM(I34:I110)","v":0}]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!A10","v":0},null,null,null,null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"Mileage",{"$f":"SUMIF($A$13:$A$110,\"Mileage\",$C$13:$C$110)","v":0},null,null,"Total $ of Sheet",null,{"$f":"I111","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",12]
["DESCRIPTION","TASK PERFORMED","UNITS","TYPE","UNIT COST","TOTAL W/O MARKUP OR TAX","TAX (NO MARKUP)","% MARK-UP","AMOUNT REQUESTED",null,"AMOUNT DISALLOWED","REF",null,"AMOUNT ELIGIBLE",null,null,"Automated Descriptor","Automated Unit Cost","Total Automated Unit Cost","Requested Unit Cost","Requested total w/o markup or tax","Requested Tax","Requested Markup"," Requested Total AMT","Lower Calculated Markup","Lower Calculated total w/ markup and tax","Lower Cost Final total","Amt Denied","Units Rounded"]
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[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 14"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
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["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
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["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",13]
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[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

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[{"$f":"\"SUBSEQUENT PAY REQUEST # \"& OFFSET('Invoice Summary'!H9,AB11,0)","v":"SUBSEQUENT PAY REQUEST # 15"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Class","Hours","Amt"]
["INSTRUCTIONS:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Princ",{"$f":"SUMIF($A$13:$A$110,\"Principal\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Principal\",$I$13:$I$110)","v":0}]
["Complete this form for all costs incurred for UST decommissioning or replacement. Only list costs associated with one invoice on each pay request.  Do not include social security numbers on any supporting backup documentation. Select the date range for the costs incurred. In the DESCRIPTION column, select the item from the dropdown list for which you are seeking reimbursement (ex. mileage). In the TASK PERFORMED column please describe the activity for which the item was used (ex. Excavation). Only list one item and one task per line.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SPM",{"$f":"SUMIF($A$13:$A$110,\"SPM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"SPM\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM"]
["Facility ID Number",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PM",{"$f":"SUMIF($A$13:$A$110,\"PM\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"PM\",$I$13:$I$110)","v":0}]
[{"$f":"IF(ISBLANK(Application!$H$1),\"\",Application!$H$1)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Staff",{"$f":"SUMIF($A$13:$A$110,\"Staff\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Staff\",$I$13:$I$110)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"VLOOKUP($B8,'Reference Data'!$A$62:$C$68,2,FALSE)","v":1},"Inv","CAP","QM","NFA","ER","Tech",{"$f":"SUMIF($A$13:$A$110,\"Tech\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Tech\",$I$13:$I$110)","v":0},null,null,"Markup",{"$f":"VLOOKUP($B8,'Reference Data'!$A$62:$C$68,3,FALSE)","v":0}]
["Select Date:","Please Choose Date","Select the date range for the costs incurred.",null,null,null,null,null,null,null,null,null,null,null,null,null,false,false,false,false,false,"Draft",{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Drafting\",$I$13:$I$110)","v":0},null,null,"Add Lines #",0]
["Invoice Number",null,"Name of Applicant",null,null,null,null,"Name of Vendor",null,null,null,null,null,null,null,null,{"$f":"IF(Q8=FALSE,0,1)","v":0},{"$f":"IF(R8=FALSE,0,1)","v":0},{"$f":"IF(S8=FALSE,0,1)","v":0},{"$f":"IF(T8=FALSE,0,1)","v":0},{"$f":"IF(U8=FALSE,0,1)","v":0},"Cler",{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$C$13:$C$110)","v":0},{"$f":"SUMIF($A$13:$A$110,\"Clerical\",$I$13:$I$110)","v":0},null,"Total $ of Added Lines",null,{"$f":"SUM(I34:I110)","v":0}]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!A10","v":0},null,null,null,null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,"Mileage",{"$f":"SUMIF($A$13:$A$110,\"Mileage\",$C$13:$C$110)","v":0},null,null,"Total $ of Sheet",null,{"$f":"I111","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Sheet #",14]
["DESCRIPTION","TASK PERFORMED","UNITS","TYPE","UNIT COST","TOTAL W/O MARKUP OR TAX","TAX (NO MARKUP)","% MARK-UP","AMOUNT REQUESTED",null,"AMOUNT DISALLOWED","REF",null,"AMOUNT ELIGIBLE",null,null,"Automated Descriptor","Automated Unit Cost","Total Automated Unit Cost","Requested Unit Cost","Requested total w/o markup or tax","Requested Tax","Requested Markup"," Requested Total AMT","Lower Calculated Markup","Lower Calculated total w/ markup and tax","Lower Cost Final total","Amt Denied","Units Rounded"]
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[null,null,null,{"$f":"IF(Q108>1,VLOOKUP(Q108,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q108>1,VLOOKUP(Q108,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q108>1,VLOOKUP(Q108,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A108),1,VLOOKUP($A108,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q108,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
[null,null,null,{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q109>1,VLOOKUP(Q109,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A109),1,VLOOKUP($A109,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q109,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
[null,null,null,{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,5,FALSE),\"\")","v":""},"","",{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,3,FALSE),\"\")","v":""},{"$f":"IF(Q110>1,VLOOKUP(Q110,'Reference Data'!$B$9:$F$58,4,FALSE),\"\")","v":""},"",null,"",null,null,"",null,null,{"$f":"IF(ISBLANK($A110),1,VLOOKUP($A110,'Reference Data'!$A$9:$B$58,2,FALSE))","v":1},{"$f":"VLOOKUP(Q110,'Reference Data'!$B$9:AM$58,($P$7+4),FALSE)","v":"Type"},"","","",0,0,"",0,"","","",0]
["SUBTOTAL ",null,null,null,null,null,null,null,{"$f":"ROUND(SUM(I13:I110),2)","v":0},null,{"$f":"SUM(K13:K110)","v":0}]
["GRAND TOTAL FOR THIS PAY REQUEST",null,null,null,null,null,null,null,{"$f":"I111","v":0},null,{"$f":"K111","v":0}]
["Additional Notes:"]

{"sheet":"Resubmittal (1)","index":18,"n_rows":67,"n_cols":28,"rows_kept":67,"cut":false,"hidden":true,"merged":[[7,5,7,8],[8,0,8,1],[0,0,0,8],[64,0,64,4],[66,2,66,8],[1,0,1,1],[6,0,6,8],[8,3,8,4],[65,0,65,4],[7,0,7,1],[8,5,8,8],[1,2,2,8],[4,2,5,8],[7,3,7,4]]}
[{"$f":"\"RESUBMITTAL PAY REQUEST\"","v":"RESUBMITTAL PAY REQUEST"}]
["INSTRUCTIONS:",null,"Complete this form for resubmittal of denied costs.  Do not include new costs or previously reimbursed costs on this form.  Complete Claim Resubmittals must be entered on the Subsequent Pay request form. Do not include social security numbers on any supporting backup documentation.  "]
[]
[]
[null,null,"The CLAIM and ITEM NUMBERs below refer to the number assigned by IDEM to each of your costs on the Cost Review Summary report.  The AMT DENIED refers to the amount denied in the original claim application. Of this amount, enter the costs for which you are seeking reimbursement in the AMT REQUESTED column.  If you need to include additional documents, assign a unique number to each document.  List the document number in the ATTACHMENT column.  "]
[]
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["Invoice Number",null,"Incident Number","Name of Applicant",null,"Name of Vendor",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Add Lines #",0]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!G24","v":0},{"$f":"Application!A10","v":0},null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total $ of Added Lines",{"$f":"SUM(F26:F64)","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total $ of Sheet",{"$f":"F66","v":0}]
["CLAIM NUMBER","ITEM NUMBER","REASON(S) FOR RECONSIDERATION OF DENIED COST","ATTACHMENTS","AMT DENIED","AMT REQUESTED",null,"AMT DISALLOWED","REF",null,"AMT ELIGIBLE",null,null,"Column \"C\" Remaining Characters",null,{"$f":"B11","v":"ITEM NUMBER"},{"$f":"A11","v":"CLAIM NUMBER"},{"$f":"F8","v":"Name of Vendor"},{"$f":"A8","v":"Invoice Number"},{"$f":"F11","v":"AMT REQUESTED"},{"$f":"H11","v":"AMT DISALLOWED"},null,null,null,null,null,"Sheet #",16]
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[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K51),\"\",F51-K51)","v":""},null,null,null,null,null,{"$f":"IF(ISBLANK(C51),\"\",255-(LEN(C51)))","v":""},null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(K64),\"\",F64-K64)","v":""},null,null,null,null,null,{"$f":"IF(ISBLANK(C64),\"\",255-(LEN(C64)))","v":""},null,"","","","","",""]
["SUBTOTAL",null,null,null,null,{"$f":"SUM(F12:F64)","v":0},null,{"$f":"SUM(H12:H64)","v":0}]
["GRAND TOTAL FOR THIS INVOICE",null,null,null,null,{"$f":"SUM(F65)","v":0},{"$f":"#REF!-#REF!","v":{"$error":"#REF!"}},{"$f":"SUM(H65)","v":0}]
["Additional Notes:"]

{"sheet":"R2","index":19,"n_rows":67,"n_cols":28,"rows_kept":67,"cut":false,"hidden":true,"merged":[[0,0,0,8],[1,0,1,1],[1,2,2,8],[4,2,5,8],[6,0,6,8],[64,0,64,4],[65,0,65,4],[66,2,66,8],[7,0,7,1],[7,3,7,4],[7,5,7,8],[8,0,8,1],[8,3,8,4],[8,5,8,8]]}
[{"$f":"\"RESUBMITTAL PAY REQUEST\"","v":"RESUBMITTAL PAY REQUEST"}]
["INSTRUCTIONS:",null,"Complete this form for resubmittal of denied costs.  Do not include new costs or previously reimbursed costs on this form.  Complete Claim Resubmittals must be entered on the Subsequent Pay request form. Do not include social security numbers on any supporting backup documentation.  "]
[]
[]
[null,null,"The CLAIM and ITEM NUMBERs below refer to the number assigned by IDEM to each of your costs on the Cost Review Summary report.  The AMT DENIED refers to the amount denied in the original claim application. Of this amount, enter the costs for which you are seeking reimbursement in the AMT REQUESTED column.  If you need to include additional documents, assign a unique number to each document.  List the document number in the ATTACHMENT column.  "]
[]
[{"$f":"IF(OFFSET('Invoice Summary'!F9,AB11,0)='R2'!AB10,\"\",\"Does Not Match Invoice Summary\")","v":"Does Not Match Invoice Summary"}]
["Invoice Number",null,"Incident Number","Name of Applicant",null,"Name of Vendor",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Add Lines #",0]
[{"$f":"OFFSET('Invoice Summary'!C9,AB11,0)","v":0},null,{"$f":"Application!G24","v":0},{"$f":"Application!A10","v":0},null,{"$f":"OFFSET('Invoice Summary'!A9,AB11,0)","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total $ of Added Lines",{"$f":"SUM(F26:F64)","v":0}]
["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total $ of Sheet",{"$f":"F66","v":0}]
["CLAIM NUMBER","ITEM NUMBER","REASON(S) FOR RECONSIDERATION OF DENIED COST","ATTACHMENTS","AMT DENIED","AMT REQUESTED",null,"AMT DISALLOWED","REF",null,"AMT ELIGIBLE",null,null,"Column \"C\" Remaining Characters",null,{"$f":"B11","v":"ITEM NUMBER"},{"$f":"A11","v":"CLAIM NUMBER"},{"$f":"F8","v":"Name of Vendor"},{"$f":"A8","v":"Invoice Number"},{"$f":"F11","v":"AMT REQUESTED"},{"$f":"H11","v":"AMT DISALLOWED"},null,null,null,null,null,"Sheet #",17]
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[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
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["SUBTOTAL",null,null,null,null,{"$f":"SUM(F12:F64)","v":0},null,{"$f":"SUM(H12:H64)","v":0}]
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["Additional Notes:"]

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[{"$f":"\"RESUBMITTAL PAY REQUEST\"","v":"RESUBMITTAL PAY REQUEST"}]
["INSTRUCTIONS:",null,"Complete this form for resubmittal of denied costs.  Do not include new costs or previously reimbursed costs on this form.  Complete Claim Resubmittals must be entered on the Subsequent Pay request form. Do not include social security numbers on any supporting backup documentation.  "]
[]
[]
[null,null,"The CLAIM and ITEM NUMBERs below refer to the number assigned by IDEM to each of your costs on the Cost Review Summary report.  The AMT DENIED refers to the amount denied in the original claim application. Of this amount, enter the costs for which you are seeking reimbursement in the AMT REQUESTED column.  If you need to include additional documents, assign a unique number to each document.  List the document number in the ATTACHMENT column.  "]
[]
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["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total $ of Sheet",{"$f":"F66","v":0}]
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["SUBTOTAL",null,null,null,null,{"$f":"SUM(F12:F64)","v":0},null,{"$f":"SUM(H12:H64)","v":0}]
["GRAND TOTAL FOR THIS INVOICE",null,null,null,null,{"$f":"SUM(F65)","v":0},{"$f":"#REF!-#REF!","v":{"$error":"#REF!"}},{"$f":"SUM(H65)","v":0}]
["Additional Notes:"]

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[{"$f":"\"RESUBMITTAL PAY REQUEST\"","v":"RESUBMITTAL PAY REQUEST"}]
["INSTRUCTIONS:",null,"Complete this form for resubmittal of denied costs.  Do not include new costs or previously reimbursed costs on this form.  Complete Claim Resubmittals must be entered on the Subsequent Pay request form. Do not include social security numbers on any supporting backup documentation.  "]
[]
[]
[null,null,"The CLAIM and ITEM NUMBERs below refer to the number assigned by IDEM to each of your costs on the Cost Review Summary report.  The AMT DENIED refers to the amount denied in the original claim application. Of this amount, enter the costs for which you are seeking reimbursement in the AMT REQUESTED column.  If you need to include additional documents, assign a unique number to each document.  List the document number in the ATTACHMENT column. "]
[]
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["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total $ of Sheet",{"$f":"F66","v":0}]
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["SUBTOTAL",null,null,null,null,{"$f":"SUM(F12:F64)","v":0},null,{"$f":"SUM(H12:H64)","v":0}]
["GRAND TOTAL FOR THIS INVOICE",null,null,null,null,{"$f":"SUM(F65)","v":0},{"$f":"#REF!-#REF!","v":{"$error":"#REF!"}},{"$f":"SUM(H65)","v":0}]
["Additional Notes:"]

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[{"$f":"\"RESUBMITTAL PAY REQUEST\"","v":"RESUBMITTAL PAY REQUEST"}]
["INSTRUCTIONS:",null,"Complete this form for resubmittal of denied costs.  Do not include new costs or previously reimbursed costs on this form.  Complete Claim Resubmittals must be entered on the Subsequent Pay request form. Do not include social security numbers on any supporting backup documentation.  "]
[]
[]
[null,null,"The CLAIM and ITEM NUMBERs below refer to the number assigned by IDEM to each of your costs on the Cost Review Summary report.  The AMT DENIED refers to the amount denied in the original claim application. Of this amount, enter the costs for which you are seeking reimbursement in the AMT REQUESTED column.  If you need to include additional documents, assign a unique number to each document.  List the document number in the ATTACHMENT column.  "]
[]
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["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total $ of Sheet",{"$f":"F66","v":0}]
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["Additional Notes:"]

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[{"$f":"\"RESUBMITTAL PAY REQUEST\"","v":"RESUBMITTAL PAY REQUEST"}]
["INSTRUCTIONS:",null,"Complete this form for resubmittal of denied costs.  Do not include new costs or previously reimbursed costs on this form.  Complete Claim Resubmittals must be entered on the Subsequent Pay request form. Do not include social security numbers on any supporting backup documentation.  "]
[]
[]
[null,null,"The CLAIM and ITEM NUMBERs below refer to the number assigned by IDEM to each of your costs on the Cost Review Summary report.  The AMT DENIED refers to the amount denied in the original claim application. Of this amount, enter the costs for which you are seeking reimbursement in the AMT REQUESTED column.  If you need to include additional documents, assign a unique number to each document.  List the document number in the ATTACHMENT column. "]
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["SUBTOTAL",null,null,null,null,{"$f":"SUM(F12:F64)","v":0},null,{"$f":"SUM(H12:H64)","v":0}]
["GRAND TOTAL FOR THIS INVOICE",null,null,null,null,{"$f":"SUM(F65)","v":0},{"$f":"#REF!-#REF!","v":{"$error":"#REF!"}},{"$f":"SUM(H65)","v":0}]
["Additional Notes:"]

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[{"$f":"\"RESUBMITTAL PAY REQUEST\"","v":"RESUBMITTAL PAY REQUEST"}]
["INSTRUCTIONS:",null,"Complete this form for resubmittal of denied costs.  Do not include new costs or previously reimbursed costs on this form.  Complete Claim Resubmittals must be entered on the Subsequent Pay request form. Do not include social security numbers on any supporting backup documentation.  "]
[]
[]
[null,null,"The CLAIM and ITEM NUMBERs below refer to the number assigned by IDEM to each of your costs on the Cost Review Summary report.  The AMT DENIED refers to the amount denied in the original claim application. Of this amount, enter the costs for which you are seeking reimbursement in the AMT REQUESTED column.  If you need to include additional documents, assign a unique number to each document.  List the document number in the ATTACHMENT column. "]
[]
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["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total $ of Sheet",{"$f":"F66","v":0}]
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[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
[null,null,null,null,null,null,null,"",null,null,null,null,null,"",null,"","","","","",""]
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["SUBTOTAL",null,null,null,null,{"$f":"SUM(F12:F64)","v":0},null,{"$f":"SUM(H12:H64)","v":0}]
["GRAND TOTAL FOR THIS INVOICE",null,null,null,null,{"$f":"SUM(F65)","v":0},{"$f":"#REF!-#REF!","v":{"$error":"#REF!"}},{"$f":"SUM(H65)","v":0}]
["Additional Notes:"]

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[{"$f":"\"RESUBMITTAL PAY REQUEST\"","v":"RESUBMITTAL PAY REQUEST"}]
["INSTRUCTIONS:",null,"Complete this form for resubmittal of denied costs.  Do not include new costs or previously reimbursed costs on this form.  Complete Claim Resubmittals must be entered on the Subsequent Pay request form. Do not include social security numbers on any supporting backup documentation.  "]
[]
[]
[null,null,"The CLAIM and ITEM NUMBERs below refer to the number assigned by IDEM to each of your costs on the Cost Review Summary report.  The AMT DENIED refers to the amount denied in the original claim application. Of this amount, enter the costs for which you are seeking reimbursement in the AMT REQUESTED column.  If you need to include additional documents, assign a unique number to each document.  List the document number in the ATTACHMENT column.  "]
[]
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["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total $ of Sheet",{"$f":"F66","v":0}]
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["Additional Notes:"]

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[{"$f":"\"RESUBMITTAL PAY REQUEST\"","v":"RESUBMITTAL PAY REQUEST"}]
["INSTRUCTIONS:",null,"Complete this form for resubmittal of denied costs.  Do not include new costs or previously reimbursed costs on this form.  Complete Claim Resubmittals must be entered on the Subsequent Pay request form. Do not include social security numbers on any supporting backup documentation.  "]
[]
[]
[null,null,"The CLAIM and ITEM NUMBERs below refer to the number assigned by IDEM to each of your costs on the Cost Review Summary report.  The AMT DENIED refers to the amount denied in the original claim application. Of this amount, enter the costs for which you are seeking reimbursement in the AMT REQUESTED column.  If you need to include additional documents, assign a unique number to each document.  List the document number in the ATTACHMENT column. "]
[]
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["TO BE COMPLETED BY APPLICANT",null,null,null,null,null,null,"TO BE COMPLETED BY IDEM",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Total $ of Sheet",{"$f":"F66","v":0}]
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["SUBTOTAL",null,null,null,null,{"$f":"SUM(F12:F64)","v":0},null,{"$f":"SUM(H12:H64)","v":0}]
["GRAND TOTAL FOR THIS INVOICE",null,null,null,null,{"$f":"SUM(F65)","v":0},{"$f":"#REF!-#REF!","v":{"$error":"#REF!"}},{"$f":"SUM(H65)","v":0}]
["Additional Notes:"]

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[{"$f":"\"RESUBMITTAL PAY REQUEST\"","v":"RESUBMITTAL PAY REQUEST"}]
["INSTRUCTIONS:",null,"Complete this form for resubmittal of denied costs.  Do not include new costs or previously reimbursed costs on this form.  Complete Claim Resubmittals must be entered on the Subsequent Pay request form. Do not include social security numbers on any supporting backup documentation.  "]
[]
[]
[null,null,"The CLAIM and ITEM NUMBERs below refer to the number assigned by IDEM to each of your costs on the Cost Review Summary report.  The AMT DENIED refers to the amount denied in the original claim application. Of this amount, enter the costs for which you are seeking reimbursement in the AMT REQUESTED column.  If you need to include additional documents, assign a unique number to each document.  List the document number in the ATTACHMENT column. "]
[]
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["SUBTOTAL",null,null,null,null,{"$f":"SUM(F12:F64)","v":0},null,{"$f":"SUM(H12:H64)","v":0}]
["GRAND TOTAL FOR THIS INVOICE",null,null,null,null,{"$f":"SUM(F65)","v":0},{"$f":"#REF!-#REF!","v":{"$error":"#REF!"}},{"$f":"SUM(H65)","v":0}]
["Additional Notes:"]

{"sheet":"IDEM Summary","index":28,"n_rows":558,"n_cols":22,"rows_kept":558,"cut":false,"hidden":true,"merged":[[8,9,9,9],[26,4,27,4],[8,4,9,4],[8,3,9,3],[10,2,10,7],[8,2,9,2]]}
["57322 R4"]
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[null,null,"Applicant Signature",{"$f":"Application!$A$126","v":0},"Application Amount",{"$f":"Application!$B$81","v":0}]
[null,null,"Tax ID #",{"$f":"Application!$H$10","v":0},"Incident #",{"$f":"Application!G24","v":0}]
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{"sheet":"Reference Data","index":29,"n_rows":156,"n_cols":31,"rows_kept":156,"cut":false,"hidden":true,"merged":[]}
[]
[]
[]
[null,null,null,null,null,null,null,null,"Use \"N/A\" for items that are not relevant"]
[]
[1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31]
[null,null,null,null,null,"Markups:",0,"15% (in guidance)",0,0,0,0.15,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1,0.1]
[null,null,null,null,null,null,1,2,3,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24]
[null,1,"Notes","Tax","Markup?","Type","7/1/88-1/2/93","1/3/93-11/30/95","12/1/95-12/31/96","1/1/97-2/7/97","2/8/97-11/15/01","11/16/01-9/28/04","9/29/04-03/25/11","3/26/11-5/31/11","6/1/11-5/31/12","6/1/12-12/31/12","1/1/13-5/31/13","6/1/13-12/31/13","1/1/14-3/14/14","3/15/14-5/31/14","6/1/14-12/31/14","1/1/15-5/31/15","6/1/15-12/31/15","1/1/16-5/31/16","6/1/2016-12/31/2016","7/1/23 to 12/31/23","1/1/24 to 5/26/24","5/27/24 to 5/31/24","6/1/24 to 12/31/24","1/1/25 to 5/31/25","6/1/25 to Present"]
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["SPM",3,3,"XXXXXXXXXXX","XXXX","Hours","N/A",90,90,90,90,102,102,126,128,129,129,130.25,130.25,130.25,131.75,131.75,131,131,132.75,152,152,152,159.5,159.5,162.75]
["PM",4,4,"XXXXXXXXXXX","XXXX","Hours","N/A",73,73,73,73,83,83,103,104.5,106,106,107,107,107,108.25,108.25,107.5,107.5,109,125,125,125,131.25,131.25,133.75]
["Staff",5,5,"XXXXXXXXXXX","XXXX","Hours","N/A",60,60,60,60,70,70,87,88.5,89,89,90,90,90,91,91,90.25,90.25,91.5,105,105,105,110,110,112.25]
["Tech",7,7,"XXXXXXXXXXX","XXXX","Hours","N/A",34,34,34,34,38,38,59,60,61,61,61.75,61.75,61.75,62.25,62.25,62,62,62.75,72,72,72,75.5,75.5,77]
["Drafting",8,8,"XXXXXXXXXXX","XXXX","Hours","N/A",31,31,31,31,35,35,50,51,52,52,52.5,52.5,52.5,53.25,53.25,52.75,52.75,53.5,60.25,60.25,60.25,63.25,63.25,64.25]
["Clerical",9,9,"XXXXXXXXXXX","XXXX","Hours","N/A",24,24,24,24,28,28,35,35.5,36,36,36.5,36.5,36.5,36.75,36.75,36.5,36.5,37,42.5,42.5,42.5,44.5,44.5,45.5]
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["Materials",11,21,null,null,"Lump","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"]
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["Mileage",18,18,"XXXXXXXXXXX","XXXX","Miles","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A",0.65500000000000003,0.67,0.67,0.67,0.7,0.7]
["Lodging",19,36,null,"XXXX","Days","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"]
["Per Diem",20,31,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"]
["Other -Markup",21,14,null,null,"Lump","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"]
["Other -No Markup",22,33,null,"XXXX","Lump","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"]
["NPD-Tank Closure Plan/Prep",23,28,"XXXXXXXXXXX","XXXX","Lump","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A",1637,1717,1717,1751]
["NPD-Closure Report Prep",24,null,"XXXXXXXXXXX","XXXX","Lump","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A",2838,2978,2978,3035]
["NPD-Tank Install Plan/Prep",25,12,"XXXXXXXXXXX","XXXX","Lump","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A",2389,2507.75,2507.75,2556.25]
[null,26,34,null,null,"Bags"]
[null,27,34,null,null,"Bags"]
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[null,29,32,null,null,"Lump"]
[null,30,null,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A",90,90,90,90,90,90,90,90,90,90,90]
[null,31,15,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A",50,50,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60]
[null,32,30,null,"XXXX","Days"]
[null,33,null,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A",350,350,350,350,350,350,350,350,350,350,350]
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[null,35,10,"XXXXXXXXXXX","XXXX","Miles","N/A",0.25,0.25,0.28000000000000003,0.28000000000000003,0.32500000000000001,0.375,0.51,0.51,0.51,0.56999999999999995,0.56999999999999995,0.56000000000000005,0.56000000000000005,0.56000000000000005,0.57499999999999996,0.57499999999999996,0.54,0.54,0.53500000000000003,0.53500000000000003,0.53500000000000003,0.53500000000000003,0.53500000000000003]
[null,36,39,null,null,"Lump"]
[null,37,19,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A",50,50,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60,60]
[null,38,null,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A",10,10,10,10,10,10,10,10,10,10,10]
[null,39,17,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A",35,35,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50,50]
[null,40,31,"XXXXXXXXXXX","XXXX","Days"]
[null,41,null,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A",35,35,35,35,35,35,35,35,35,35,35]
[null,42,16,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A",20,20,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24,24]
[null,43,13,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A",75,75,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90]
[null,44,22,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A",75,75,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90,90]
[null,45,null,"XXXXXXXXXXX","XXXX","Well","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A",30,30,30,30,30,30,30,30,30,30,30]
[null,46,null,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A",160,160,160,160,160,160,160,160,160,160,160]
[null,47,37,null,null,"Lump"]
[null,48,35,null,null,"Each"]
[null,49,29,null,"XXXX","Lump"]
[null,50,null,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A",60,60,60,60,60,60,60,60,60,60,60]
[null,51,23,"XXXXXXXXXXX","XXXX","Days","N/A","N/A","N/A","N/A","N/A",12,12,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15,15]
[]
[]
[null,"Number","Markup"]
["Please Choose Date",1,0]
["7/1/23 to 12/31/23",21,0.1,"Mr.",null,"COUNTY_NUMBER",null,"COUNTY_NAME",null,"Phases",null,"Type of Decommission/Reinstallation"]
["1/1/24 to 5/26/24",22,0.1,"Ms.",null,0]
["5/27/24 to 5/31/24",23,0.1,null,null,1,null,"Adams",null,"Site Characterization",null,"Decommission"]
["6/1/24 to 12/31/24",24,0.1,"",0,2,null,"Allen",null,"CAP",null,"Reinstallation"]
["1/1/25 to 5/31/25",25,0.1,null,null,3,null,"Bartholomew",null,"Monitoring"]
["6/1/2025 to Present",26,0.1,null,null,4,null,"Benton",null,"Closure/ERC"]
[null,null,null,null,null,5,null,"Blackford",null,"Emergency Conditions"]
[null,null,null,null,null,6,null,"Boone"]
[null,null,null,null,null,7,null,"Brown"]
[null,null,null,null,null,8,null,"Carroll"]
[null,null,null,null,null,9,null,"Cass"]
[null,null,null,null,null,10,null,"Clark"]
[null,null,null,null,null,11,null,"Clay"]
[null,null,null,null,null,12,null,"Clinton"]
[null,null,null,null,null,13,null,"Crawford"]
[null,null,null,null,null,14,null,"Daviess"]
[null,null,null,null,null,15,null,"Dearborn"]
[null,null,null,null,null,16,null,"Decatur"]
[null,null,null,null,null,17,null,"Dekalb"]
[null,null,null,null,null,18,null,"Delaware"]
[null,null,null,null,null,19,null,"Dubois"]
[null,null,null,null,null,20,null,"Elkhart"]
[null,null,null,null,null,21,null,"Fayette"]
[null,null,null,null,null,22,null,"Floyd"]
[null,null,null,null,null,23,null,"Fountain"]
[null,null,null,null,null,24,null,"Franklin"]
[null,null,null,null,null,25,null,"Fulton"]
[null,null,null,null,null,26,null,"Gibson"]
[null,null,null,null,null,27,null,"Grant"]
[null,null,null,null,null,28,null,"Greene"]
[null,null,null,null,null,29,null,"Hamilton"]
[null,null,null,null,null,30,null,"Hancock"]
[null,null,null,null,null,31,null,"Harrison"]
[null,null,null,null,null,32,null,"Hendricks"]
[null,null,null,null,null,33,null,"Henry"]
[null,null,null,null,null,34,null,"Howard"]
[null,null,null,null,null,35,null,"Huntington"]
[null,null,null,null,null,36,null,"Jackson"]
[null,null,null,null,null,37,null,"Jasper"]
[null,null,null,null,null,38,null,"Jay"]
[null,null,null,null,null,39,null,"Jefferson"]
[null,null,null,null,null,40,null,"Jennings"]
[null,null,null,null,null,41,null,"Johnson"]
[null,null,null,null,null,42,null,"Knox"]
[null,null,null,null,null,43,null,"Kosciusko"]
[null,null,null,null,null,44,null,"Lagrange"]
[null,null,null,null,null,45,null,"Lake"]
[null,null,null,null,null,46,null,"Laporte"]
[null,null,null,null,null,47,null,"Lawrence"]
[null,null,null,null,null,48,null,"Madison"]
[null,null,null,null,null,49,null,"Marion"]
[null,null,null,null,null,50,null,"Marshall"]
[null,null,null,null,null,51,null,"Martin"]
[null,null,null,null,null,52,null,"Miami"]
[null,null,null,null,null,53,null,"Monroe"]
[null,null,null,null,null,54,null,"Montgomery"]
[null,null,null,null,null,55,null,"Morgan"]
[null,null,null,null,null,56,null,"Newton"]
[null,null,null,null,null,57,null,"Noble"]
[null,null,null,null,null,58,null,"Ohio"]
[null,null,null,null,null,59,null,"Orange"]
[null,null,null,null,null,60,null,"Owen"]
[null,null,null,null,null,61,null,"Parke"]
[null,null,null,null,null,62,null,"Perry"]
[null,null,null,null,null,63,null,"Pike"]
[null,null,null,null,null,64,null,"Porter"]
[null,null,null,null,null,65,null,"Posey"]
[null,null,null,null,null,66,null,"Pulaski"]
[null,null,null,null,null,67,null,"Putnam"]
[null,null,null,null,null,68,null,"Randolph"]
[null,null,null,null,null,69,null,"Ripley"]
[null,null,null,null,null,70,null,"Rush"]
[null,null,null,null,null,71,null,"St Joseph"]
[null,null,null,null,null,72,null,"Scott"]
[null,null,null,null,null,73,null,"Shelby"]
[null,null,null,null,null,74,null,"Spencer"]
[null,null,null,null,null,75,null,"Starke"]
[null,null,null,null,null,76,null,"Steuben"]
[null,null,null,null,null,77,null,"Sullivan"]
[null,null,null,null,null,78,null,"Switzerland"]
[null,null,null,null,null,79,null,"Tippecanoe"]
[null,null,null,null,null,80,null,"Tipton"]
[null,null,null,null,null,81,null,"Union"]
[null,null,null,null,null,82,null,"Vanderburgh"]
[null,null,null,null,null,83,null,"Vermillion"]
[null,null,null,null,null,84,null,"Vigo"]
[null,null,null,null,null,85,null,"Wabash"]
[null,null,null,null,null,86,null,"Warren"]
[null,null,null,null,null,87,null,"Warrick"]
[null,null,null,null,null,88,null,"Washington"]
[null,null,null,null,null,89,null,"Wayne"]
[null,null,null,null,null,90,null,"Wells"]
[null,null,null,null,null,91,null,"White"]
[null,null,null,null,null,92,null,"Whitley"]