EXPENDITURE REPORT FOR ALTERNATIVE FUEL,
51A302 (12-08)
GASIFICATION, & RENEWABLE ENERGY FACILITY REFUNDS
Commonwealth of Kentucky
1. Include only one Contractor/Sub-contractor (Purchaser) per page.
DEPARTMENT OF REVENUE
2. Please total costs by vendor.
3. Provide copy of 1 invoice from each vendor as sample.
Eligible Project
Name of Approved Company:
Contractor/Sub-Contractor Name:
Contractor/Sub-Contractor SU Tax Account # (if applicable):
6
7
8
1
2
3
4
5
Vendor Name
Invoice #
Date of
Period Tax
General description of building materials or
Total Cost
KY SU Tax
Total by Vendor
Paid
Invoice
Reported
fixtures purchased
An Equal Opportunity Employer M/F/D