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Doclsign Envelope lD: 5B7BBB36-E920-4D42-A303-7ADBOAAB486C <br />State of Washington <br />Administrative Office of the Courts <br />l, [AO0 Comptroller name), have reviewed the Becca reimbursement <br />documents and supporting documentation provided by lcounty and county <br />designee namel for the tinre period Fiscal Ye,ar l20XX), and do hereby <br />doclare that: <br />[J Docurrenlation is in compliance with Becca cost reimbursement <br />requirements. <br />[J Documentation is na! in compliance with Becca cost reimbursement <br />requirements. The following corrective action must be taken: <br />sumntary/delail of corrective action ancl completion provided here <br />Signed <br />AOC Comptroller/Designee Date <br />n:\proqlams I orgtnizalions\wajca\eontracts\exl{bit as & bs (anC old cs_re,)ortjng}cxhibit A t)erca cost guidelines ZOZ3..16c.x <br />BHCCA Guriclelines T lZO23 7 tRnzaloo