Annex

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OPERATIONAL COSTS — REQUEST FOR PAYMENT

Submission deadline:		Upon adoption of Financing Decision, 6 months after the end date or confirmation of eradication of the disease, whichever is earlier.
Outbreak reference		MS/DISEASE/YEAR
Slaughtering and culling
ADNS No	Holding No	Amount of invoice excluding VAT	Supplier's Name	Payment date
Total

Cleaning desinsectisation and disinfection (holdings and equipment)
ADNS No	Holding No	Amount of invoice excluding VAT	Supplier's Name	Payment date
Total

Transport and destruction of the contaminated feeding stuffs and equipment
ADNS No	Holding No	Amount of invoice excluding VAT	Supplier's Name	Payment date
Total

Purchase, storage, administration, distribution of vaccines and baits as well as costs of inoculation itself
ADNS No	Purchase costs			Storage costs	Administration costs	Distribution of vaccines and baits costs	Inoculation costs	Payment date
	Number of vaccine doses used	Type of vaccines	Cost of vaccine doses
Total

Transport and disposal of carcasses
ADNS No	Holding No	Amount of invoice excluding VAT	Supplier's Name	Payment date
Total

Other costs essential for the eradication of the disease
ADNS No	Holding No	Amount of invoice excluding VAT	Supplier's Name	Payment date
Total

TOTAL

Slaughtering and culling
Cleaning desinsectisation and disinfection (holdings and equipment)
Transport and destruction of the contaminated feeding stuffs and equipment
Purchase, storage, administration or distribution of vaccines
Transport and disposal of carcasses
Other costs essential for the eradication of the disease (specify)
Total

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