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Exhibit D <br />Vendor: FISH Community Food Bank <br />Month:May Invoice total: <br />Client Number 1234 Date of EOC/KCPHD Referral <br />Service Date Service Billable Activity Rate <br />5/15/2020 Grocery box packing .5 staff hours $16.10/hr <br />5/15/2020 Grocery box 25 lbs of food $2/lb <br />5/15/2020 Grocery box delivery to Kittitas .5 staff hours $18.98/h <br />5/15/2020 Grocery box delivery to Kittitas 18 miles roundtrip .575/mile <br />5/29/2020 Grocery box packing .5 staff hours $16.10/hr <br />5/29/2020 Grocery box 25 lbs of food $2/lb <br />5/29/2020 Grocery box delivery to Kittitas .5 staff hours $18.98/h <br />5/29/2020 Grocery box delivery to Kittitas 18 miles roundtrip .575/mile <br />Total Client Cost <br />Cost Breakdown for Reimbursement