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R <br /> ATTACHMENT A <br /> 13 <br /> Orange County Government <br /> Reimbursement Cover Sheet <br /> Complete a separate cover sheet for each line item. Staple receipts and invoices to this page. <br /> Agency: <br /> Period Ending: <br /> Line Item Name: <br /> Line Item Total: <br /> Number of Attached <br /> Receipts: <br /> IIw!i��i i i i i i it r i i i i i i i i i i•i i i i,i i�i i i ii i i<�i�i i i i� <br /> Orange County Government <br /> Reimbursement Cover Sheet <br /> Complete a separate cover sheet for each line item. Staple receipts and invoices to this page. <br /> Agency: <br /> Period Ending: <br /> Line Item Name: <br /> Line Item Total: <br /> Number of Attached <br /> Receipts: <br /> Page 13 of 26 <br /> Allocation<$10,000 <br />