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["Monthly 2020 Billable Hours due to SOE"]
["For Services that are Billed Hourly",null,null,null,null,null,null,"Vendor Name:"]
[null,null,null,null,null,null,null,"Vendor Number:"]
[null,null,null,null,null,null,null,"Service Code:"]
[null,"Instructions:"]
[null,"A) Actual Hours Provided during Current Month "]
[null,"B) Total Hours Authorized for the Current Month"]
[null,"C) Total Hours Authorized during the period of March 1, 2019 through February 29, 2020 "]
[null,"D)Total Hours Claimed during the period of March 1, 2019 to February 29, 2020"]
[null,"DD) Number of months consumer was in program from March 2019 through February 2020"]
[null,null,"Ex) Write \"5\" if consumer was in program from Oct. 2019 through Feb. 2020. Write \"12\" if consumer was in the program from Mar. 2019 through Feb. 2020."]
[null,"E) Average Hours not Utilized during Previous 12 Months"]
[null,"F) Billable Hours Not Provided due to SOE (B - A - E)",null,null,"<-- Enter on last Day of the Month Ex) April 30"]
[null,"G) Total Billable Hours for the Month (A + F)"]
[]
[]
[null,"Month Claimed:","April",2020]
[]
[null,null,null,null,"Current Month",null,"Previous 12 Months",null,"# of Months","Do Not Edit These Columns"]
[null,"Last Name","First Name","UCI","A","B","C","D","DD","E","F","G"]
[1,"Examples:",null,null,null,null,null,null,null,{"$f":"+((G21/I21)*12-(H21/I21)*12)/12","v":{"$error":"#DIV/0!"}},{"$f":"IF((F21-E21-J21)<0,0,F21-E21-J21)","v":{"$error":"#DIV/0!"}},{"$f":"+E21+K21","v":{"$error":"#DIV/0!"}}]
[{"$f":"+A21+1","v":2},"Consumer that started in October 2019",null,null,null,null,null,null,5,{"$f":"+((G22/I22)*12-(H22/I22)*12)/12","v":0},0,{"$f":"+E22+K22","v":0}]
[{"$f":"+A22+1","v":3},"Consumer that attendend all 12 months of Mar 2019 - Feb 2020",null,null,null,null,null,null,12,{"$f":"+((G23/I23)*12-(H23/I23)*12)/12","v":0},0,{"$f":"+E23+K23","v":0}]
[4,"Consumer that started in July 2019",null,null,null,null,null,null,8,0,0,0]
[5,null,null,null,null,null,null,null,null,{"$f":"+((G25/I25)*12-(H25/I25)*12)/12","v":{"$error":"#DIV/0!"}},{"$f":"IF((F25-E25-J25)<0,0,F25-E25-J25)","v":{"$error":"#DIV/0!"}},{"$error":"#DIV/0!"}]
[6,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$f":"IF((F26-E26-J26)<0,0,F26-E26-J26)","v":{"$error":"#DIV/0!"}},{"$error":"#DIV/0!"}]
[7,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[8,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[9,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[10,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[11,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[12,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[13,null,null,null,null,null,null,null,null,{"$f":"+((G33/I33)*12-(H33/I33)*12)/12","v":{"$error":"#DIV/0!"}},{"$f":"IF((F33-E33-J33)<0,0,F33-E33-J33)","v":{"$error":"#DIV/0!"}},{"$f":"+E33+K33","v":{"$error":"#DIV/0!"}}]
[14,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[15,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[16,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[17,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[18,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[19,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[20,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[21,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[22,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[23,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[24,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[25,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[26,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[27,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[28,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[29,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[30,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[31,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[32,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[33,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[34,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[35,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[36,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[37,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[38,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[39,null,null,null,null,null,null,null,null,{"$f":"+((G59/I59)*12-(H59/I59)*12)/12","v":{"$error":"#DIV/0!"}},{"$f":"IF((F59-E59-J59)<0,0,F59-E59-J59)","v":{"$error":"#DIV/0!"}},{"$f":"+E59+K59","v":{"$error":"#DIV/0!"}}]
[40,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[41,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[42,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[43,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[44,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[45,null,null,null,null,null,null,null,null,{"$f":"+((G65/I65)*12-(H65/I65)*12)/12","v":{"$error":"#DIV/0!"}},{"$f":"IF((F65-E65-J65)<0,0,F65-E65-J65)","v":{"$error":"#DIV/0!"}},{"$f":"+E65+K65","v":{"$error":"#DIV/0!"}}]
[46,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[47,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[48,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[49,null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
[{"$f":"+A69+1","v":50},null,null,null,null,null,null,null,null,{"$error":"#DIV/0!"},{"$error":"#DIV/0!"},{"$error":"#DIV/0!"}]
["VENDOR NOTES:"]

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