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1 <br />II. COST COMPUTATION <br />Example: Hourly Reimbursement $ 5.50 <br />Cost Per Trainee = $ 5.720.00 <br />Hours 1040 <br />Pnnt a e gn <br />Print Name Signature Title <br />III. Person(s) authorized to sign payment invoices for EMPLOYER: <br />~ - ~. <br />N m i ature Title <br />Z .~~_ <br />Date <br />Date <br />3 <br />