Payment Approval Notice

Special Instruction: Use the V808

Payment will be made to *VENDOR NAME* on behalf of *PARTICIPANT NAME* for:

*ITEM/ACTIVITY/SERVICE*

*ITEM/ACTIVITY/SERVICE*

This action is based on Kansas Economic and Employment Support Manual (KEESM) section 3400.

If you have questions, call *WORKER NAME & PHONE NUMBER*.

Spanish Translation:

El pago se realizará a *VENDOR NAME* en nombre de *PARTICIPANT NAME* para:

*ITEM/ACTIVITY/SERVICE*

*ITEM/ACTIVITY/SERVICE*

Esta medida se basa en el Manual de Apoyo Económico y al Empleo de Kansas (KEESM), sección 3400.

Si tiene preguntas, llame al *WORKER NAME & PHONE NUMBER*.