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<br />APPENDIX C <br /> <br />Juvenile Detention/Transport Billing - Sample <br />Agency <br />Address <br />City, State, Zip <br /> <br />Authorized Official <br /> <br />Date <br /> <br />Billing Period: <br /> <br />9015 Detentions <br /> <br />Facility Track Total Days Billable Days Rate Total <br /> $ - <br /> $ - <br /> $ - <br /> $ - <br /> $ - <br /> $ - <br /> $ - <br /> $ - <br /> $ - <br /> $ - <br /> $ - <br /> <br />Total Detentions $ <br /> <br />8061 T <br /> <br />ransportation (Mileaqe) <br />Facility Track Miles Rate Meals Total <br /> $ 0.4 $ - <br /> $ 0.4 $ - <br /> $ 0.4 $ - <br /> $ 0.4 $ - <br /> $ 0.4 $ - <br /> $ 0.4 $ - <br /> $ 0.4 $ - <br /> $ 0.4 $ - <br /> $ 0.4 $ - <br /> $ 0.4 $ - <br /> $ 0.4 $ - <br /> <br />Total Transportation $ <br />