THE RESEARCH FOUNDATION OF STATE UNIVERSITY OF NEW YORK P.O. BOX 9 ALBANY, NEW YORK SPONSOR INFORMATION

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1 01-MAR-11 SPONSOR INFORMATION ACCOUNT INFORMATION SPONSOR REFERENCE: HHSN C AR INVOICE NUMBER: PROJECT DIRECTOR: Doe, Dr. John AWARD PERIOD: 30-MAY MAY-15 AWARD LOCATION: AWARD TITLE: 030 University at Buffalo Clinical Pharmacology Quality Assurance and Quality Control BILLING PERIOD INFORMATION FOR ELECTRONIC PAYMENT: KEY BANK OF NEW YORK 66 SOUTH PEARL STREET MAKE CHECKS PAYABLE TO: ALBANY, NEW YORK THE RESEARCH FOUNDATION OF STATE UNIVERSITY OF NEW YORK ATTN: CASH RECEIPT DEPARTMENT EIN REMARKS: ROUTING NO: ABA ACCOUNT NO: AMOUNT DUE : $159, PLEASE REFERENCE RF AWARD NUMBER ON REMITTANCE PAYMENT DUE UPON RECEIPT CERTIFICATION: I CERTIFIY THAT ALL EXPENDITURES REPORTED (OR PAYMENTS REQUESTED) ARE FOR THE APPROPRIATE PURPOSES AND IN ACCORDANCE WITH THE AGREEMENTS SET FORTH IN THE APPLICATION AND AWARD DOCUMENTS. FOR QUESTIONS REGARDING THIS INVOICE, PLEASE CALL THE AR COORDINATOR BELOW AT THE NUMBER LISTED. PLEASE REFERENCE THE R.F. AWARD NUMBER AND AR INVOICE NUMBER WHEN SENDING YOUR REMITTANCE. SIGNATURE: NAME: DATE: TITLE: AR/REPORTING COORDINATOR PHONE: (716)

2 ANALYSIS OF CURRENT & COSTS RF PROJECT NUMBER: PROJECT DESCRIPTION: Option 3, Foreign Site - Zimbabwe Salaries and Wages 14, , Employee Benefits 5, , Supplies 1, , Travel Conference and Training Subcontracts 9, , , Postage and Publishing General Services 6, Miscellaneous 5, Undistributed Budget 27, DIRECT COSTS 70, , , , , S 90, , ,697.75

3 ANALYSIS OF CURRENT & COSTS RF PROJECT NUMBER: PROJECT DESCRIPTION: Option 4, Foreign Site - Cape Town, South Africa Salaries and Wages 14, , Employee Benefits 5, , Supplies 1, , Travel Conference and Training Subcontracts 9, , , Postage and Publishing General Services 6, Miscellaneous 5, Undistributed Budget 27, DIRECT COSTS 70, , , , , S 90, , ,261.94

4 ANALYSIS OF CURRENT & COSTS RF PROJECT NUMBER: PROJECT DESCRIPTION: Option 1, Domestic Site - UNC Salaries and Wages 23, , Employee Benefits 9, , Supplies 1, , Travel Conference and Training Subcontracts 18, , , Postage and Publishing General Services 6, Miscellaneous 1, Undistributed Budget 43, DIRECT COSTS 104, , , , , S 129, , ,481.61

5 ANALYSIS OF CURRENT & COSTS RF PROJECT NUMBER: PROJECT DESCRIPTION: Clinical Pharmacology Quality Assurance and Quality Control Salaries and Wages 266, , , Employee Benefits 109, , , Supplies 29, , , Travel 6, , Conference and Training Subcontracts 296, , , Postage and Publishing General Services 10, , Miscellaneous 29, , Undistributed Budget 21, DIRECT COSTS 771, , , , , , S 1,036, , ,246.94

6 ANALYSIS OF CURRENT & COSTS RF PROJECT NUMBER: PROJECT DESCRIPTION: Clinical Pharmacology Quality Assurance and Quality Control Salaries and Wages 504, , Employee Benefits 197, , Supplies 66, , Travel 13, , Equipment 145, , Conference and Training , Subcontracts 681, , , Postage and Publishing General Services 21, , Miscellaneous 49, , , Undistributed Budget DIRECT COSTS 1,679, , ,578, , , , S 2,221, , ,057,241.33

7 ANALYSIS OF CURRENT & COSTS RF PROJECT NUMBER: PROJECT DESCRIPTION: Option 2, Domestic Site - Colorado Salaries and Wages 23, , Employee Benefits 9, , Supplies 1, , Travel Conference and Training Subcontracts 18, , , Postage and Publishing General Services 6, Miscellaneous 1, Undistributed Budget 43, DIRECT COSTS 104, , , , , S 129, , ,149.56

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