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Free Invoice Templates

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					                       CERTIFICATION OF SERVICES
                  (Use this if an invoice is not supplied by the contractor)

                                              Date:           ____________________

Vendor’s Name:                _________________________________
V-Number:                     ______________________

Address:                      _________________________________
                              _________________________________
                              _________________________________

Description of Service:      _________________________________
                             _________________________________
                             _________________________________
Date of Service              _________________________________


Please describe any issues or problems with performance of services:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________


Please process payment prior to event and send check to _____________
_____________at Mail Code ________
I certify that the payment will be distributed by the Budget Manager after
the performance/service has been completed satisfactorily.

Budget Manager Signature (required) ______________________________

Amount Due:                   _$_________________



      Purchase Order No. ____________________ REQUIRED
      Partial ___________ or Final ____________
      Date Service Completed ________________
      I certify that a Contract Agreement has been
      completed and amount due is approved for payment.
      Signature _________________________ Date ___________

				
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