Included in CFR Manual Only - New York State Office of Mental Health

New York State
Consolidated
Budget and Claiming
Manual
Subject: AC-1171 State Aid Voucher Section/Page: 21.14
For the Periods:
January 1, 2010 to December 31, 2010
July 1, 2010 to June 30, 2011
Issued: February 15, 2010
IRS Amount
Make no entry.
Stat. Type
Make no entry.
Statistic
Make no entry.
Indicator-Dept.
Make no entry.
Indicator-Statewide
Make no entry.
Ref./Inv. No. (MM) (DD) (YY)
Enter information that will identify the payment generated by the voucher. Up to 20
characters (alphabetic and/or numeric) may be used in any combination.
Ref./Inv. Date (MM) (DD) (YY)
Make no entry.
Date Paid (Box 6)
Make no entry.
Check or Voucher No. (Box 6)
Make no entry.
Description of Charges (Box 6)
Enter the contract number and the period covered by the State Aid claim as follows:
C-000001: Expenses for the period January 1, 200X through June 30, 200X
or C-000001: Expenses for the period 01/01/0X – 06-30-0X