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Exhibit I: Summary of Costs <br />Grantee Name Date:Month DD, YYYY <br />Street Address <br />City, ST ZIP Code <br />Agreement Number:ECRG-2021-XXXX <br />Grant Period:MM/DD/YYYY to MM/DD/YYYY <br />Site Name <br />Site Address <br />City, ST Zip Code <br />Billing Period:MM/DD/YYYY to MM/DD/YYYY <br />Budget Item Expended <br /> To Date <br />TOTAL -$ <br />Direct questions regarding billing to:Name <br />XXX-XXX-XXXX Ext. XXXX <br />Email address <br />Budgeted Current <br />-$ -$ <br />Billing AmountAmount <br />Sample*This is a sample format to summarize invoice requests for approved ECRG activities. <br />Submission will be done through the grant portal. Minor revisions and/or updates may <br />be made to the sample Agreement prior to execution. <br />April 28, 2022 <br />EXHIBIT 13