N.M. Admin. Code § 9.4.7.20 - APPENDIX 9: COMMISSION FOR THE BLIND BUSINESS ENTERPRISE PROGRAM
1. Report for the Month of _________________
2. Facility Number: ______________________
3. Manager's Name: ______________________
4. Number of Employees: _________
5. Cash Sales from Operations (Including Tax) $________
6. Other Income (Vending Machines) $________
7. Total Income for this Period $________
Cost o f Goods Sold:
8. Beginning Inventory $________
9. Add Purchases for the Month $________
10. Total Goods Available $________
11. Less Ending Inventory $________
12. Total Cost of Goods Sold $________
13. Gross Income $________
Operating Expenses
14. Salary Expense $________
15. Payroll Tax Expense $________
16. Sales Tax Expense $________
17. Other Miscellaneous Expense $________
18. Total Operating Expenses $________
19. Sub Profit or Loss from Facility Operations $________
20. Vending Machine commissions $________
21. Net Profit or Loss $________
22. Set-Aside (5% of N.P.) _____ $________
23. Net Profit to the Manager $________
I certify to the best of my knowledge that the above figures are true and correct.
Check # _________ _____________________________ _________
Licensed Manager's Signature Date
Notes
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