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St. Anthony Police Department <br />St, Anthony Police Department <br />3301 Silver Lake Road <br />St. Anthony, MN 55418 <br />Telephone: 612-789-5015 <br />Fax: 612-789-9602 <br />BILL TO: Bureau of Criminal Apprehension <br />Eric Knutson, Special Agent in Charge <br />1430 Maryland Avenue East <br />St. Paul, MN 55106-2802 <br />6511793-1004 Fax: 651/793-1005 TTY: 651/282-6555' <br />Internet: http://www.dps.state.mn.us/bca <br />Exhibit A <br />INVOICE <br />INVOICE NO.: ICAC - <br />DATE: <br />HOURS <br />DESCRIPTION <br />RATE <br />TOTAL <br />Reimbursement for Computer Forensic Analyst Internet Crimes Against <br />Children, for the month of <br />Reference: Agreement # 3000-1391 <br />Employee's Name and Rank Employee ID: 01234567 <br />$ <br />$ <br />Overtime hours @ $ <br />Employee's Name and Rank Employee ID: 98765432 <br />$ <br />$ <br />Overtime hours @ $ <br />{Reimbursement of expenses if pre -approved by State's Authorized Rep.) <br />$ <br />$ <br />1 certify the above to be correct, and the amount claimed to be due and <br />payable. <br />John Ohl <br />St. Anthony Police Department <br />Payment Details Sub Total $ <br />❑ Electronic Fund Transfer (EFT) Tax Identification <br />0 Warrant Number: xx-xxxxxxx <br />TOTAL <br />Please include invoice numbers with payment <br />Joint Powers Agreement (Rev. 6/03) 5 <br />22 <br />