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AFI 25-201: Support Agreements - Air Force E-Publishing

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<strong>AFI</strong><strong>25</strong>-<strong>201</strong> 1 MAY 2005 21<br />

Figure 5.4. Intra/Interservice Funding Annex (Suggested Format).<br />

(Suggested Format) FB9999-05009-210<br />

a. CATEGORY OF SUPPORT b. BASIS FOR COSTING c. ESTIMATE<br />

Page 3 of ___<br />

Alpha/Numeric field *NON-REIM REIM COST<br />

Communication Services Toll charges $ 5,302.57<br />

Actual equipment cost <br />

Mail Postage Metered Mail **$1,000.00<br />

Supply Services Actual cost (Receiver<br />

provides MIPR directly to<br />

Supply Squadron)***<br />

<br />

Vehicle <strong>Support</strong> Maintenance records form 14,380.36<br />

*Recommend this column provide only<br />

non-reimbursable costs which are<br />

directly attributable to the receiver.<br />

(Should the receiver relocate to another<br />

installation, the supplier’s costs would be<br />

reduced).<br />

**If over $10,000 annually, item<br />

becomes reimbursable.<br />

***One-time charges are not included in<br />

annual totals.<br />

Certified by: (Date)<br />

Certifier’s signature block<br />

TOTAL $ 1,000.00 $ 19,682.93

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