SECTION 1 – Project Information
Date:	Region:	Cost-Share Number: (if applicable):
Tract No.:	Parcel:	Project Acres:	Cost-Share Acres:
Region Approval:	Non-Cost-Share Acres:
Work Completion Date:	Project Status:	Complete	Incomplete
SECTION 2 – Bill To Information
Name:
Address:
(only if non-cost-share)	City:	State:	Zip:
E-mail:	Daytime Phone No.:
SECTION 3 – Billing Detail Information
Qty	Description	Revenue	Cost Per Unit*	Cost
Mileage: Car, Brush Truck, Engine, Sport Utility, Van, Pickup, Utility (Current IRS Vehicle Rates)	07302-140	@ $	0.670	/Mile	$
Mileage: Lowboy/Tractor Trailer, Stake Body, Transport	07302-140	@ $	1.50	/Mile	$
Delivery: Seedlings (per Loaded mile) (min. chg. applies)	07302-140	@ $	2.00	/Mile	$
Delivery: Brush Drum Chopper or Bush & Bog Disk	07302-140	@ $	300.00	/Tract	$
Rental: Planting & Site Preparation Equipment (min. chg. applies)	07302-130	@ $	15.00	/Acre	$
Equipment Services: ATV (All Terrain Vehicle) (min. chg. applies)	07302-140	@ $	10.00	/Hour	$
Equipment Services: Engine (min. chg. applies)	07302-140	@ $	35.00	/Hour	$
Equipment Services: Small Equipment (Chainsaw, Blower, Brushcutter) (min. chg. applies)	07302-140	@ $	5.00	/Hour	$
Equipment Services: Tractor (min. chg. applies)	07302-140	@ $	65.00	/Hour	$
Equipment Services: Tractor Standby (min. chg. applies)	07302-140	@ $	30.00	/Hour	$
Personnel Hours: Full-time (Service performed by other full-time personnel)	09022-140	@ $	35.00	/Hour	$
Personnel Hours: Full-time (Service performed by RT-funded personnel)	09022-130	@ $	35.00	/Hour	$
Personnel Hours: Part-time	09022-140	@ $	13.50	/Hour	$
Planting Coordination (min. chg. applies)	09022-140	@ $	5.00	/Acre	$
Seed, Fertilizer, Other Product for Stabilization (Supply Cost)	09060-140	@ $	/Project	$
Stewardship Plan Preparation (min. chg. applies)	09022-140	@ $	1.50	/Acre	$
Stewardship Plan Revision (min. chg. may apply)	09022-140	@ $	1.50	/Acre	$
Land Use Plan Preparation	09022-140	@ $	200.00	/Plan	$
Timber Marking – Hardwood Private Land > 6 acres (min. chg. applies)	09022-140	@ $	15.00	/Acre	$
Timber Marking – Pine Private Land > 6 acres (min. chg. applies)	09022-140	@ $	25.00	/Acre	$
Prescribed Burning Full Service – Site Prep Burn	09022-140	@ $	30.00	/Acre	$
Prescribed Burning Full Service – Other Burn Type	09022-140	@ $	25.00	/Acre	$
@ $	/	$
@ $	/	$
* See Policy and Procedures or Aerial Spray Contracts for current rate information.	Total Amount to be Billed for Department of Forestry Services	$
+ Landowner Cost (see attached receipts)	$
= Total Project Cost	$
VDOF Headquarters Office/Finance Use Only	Amount Due from Landowner:	Amount of ATV: