I hereby certify that the above is true, and the evidence that was submitted. The number of original as well as the amount of money ............ requested.Based on the Organization of the company in all respects.
I hereby certify that the foregoing list is fact and evidence submitted with payment. Number ............ including the amount of the reimbursement is required by regulation, the Company in all respects.
I hereby certify that the above mentioned items is real and payment proof submitted by the number of... Is... The money calls, as well as the number of correctly according to the company every