Billed Entity:
53285
FRN:
1699001257
Funding Year:
2016
470#:
160013117
471#:
161000304
Category of Service:
INTERNAL CONNECTIONS MNT
Status:
Cancelled
FCDL Date:
2017-02-23
Wave:
35
FCDL Comment:
MR1:The amount of the funding request was changed from $11,666.67 to $3,305.56 to remove the 15% Ineligibility for two of the three years coverage for Forticare.
Service Start Date (471):
2016-07-01
Service Start Date (486):
2016-07-01
Committed Amount:
$0.00
Last Date of Service:
2019-06-30
Disbursed Amount:
$0.00
Payment Mode:
NOT SET
Remaining:
$0.00
Last Date to Invoice:
2018-01-29

Original
Committed
Monthly Cost:
$0.00
 
Ineligible Monthly Cost:
$0.00
 
Months of Service:
12
 
Annual Recurring Charges:
$0.00
 
One Time Cost:
$11,666.67
 
One Time Ineligible Cost:
$0.00
 
Total Cost:
$11,666.67
 
Discount Percent:
70
 
Requested Amount:
$8,166.67