TRANSACTION $50,000 THRESHOLD WAIVER OF INTEREST TRANSMITTAL Business Unit Department ID Batch Type Contract Number PCL Originating Agency NYS Vendor ID Payee Name Payee Address City State Zip Code Contract Amount Contract Period (MM/DD/YY) to Description Waiver of Interest Description Preparer’s Signature Preparer’s Telephone No. Preparer’s Email Address Date Attach: Signed Waiver of Interest, T Contracts, and Notifications OSC, Bureau of Contracts, Attn: Grants Team Leader Send to:
TRANSACTION $50,000 THRESHOLD WAIVER OF INTEREST TRANSMITTAL Business Unit Department ID Batch Type PCL Contract Number Originating Agency NYS Vendor ID Payee Name Payee Address City State Zip Code Contract Amount Contract Period (MM/DD/YY) to Description Waiver of Interest Description Preparer’s Signature Preparer’s Telephone No. Preparer’s Email Address Date Attach: Signed Waiver of Interest, T Contracts, and Notifications Send to: OSC, Bureau of Contracts, Attn: Grants Team Leader
XI_4A_att_waiverinterest.docx