Philadelphia Empowerment Zone
Sample Invoice
Your Agency Letterhead
Always remember to include a date on your invoice
June 24, 2001
INVOICE
Always remember to include an invoice number
Invoice Number: 006
[Name of EZ Program] For the Period of March 1 - March 31, 2001
Recruitment and hiring of four EZ residents to fill program staff positions $ 1,000.00
(Deliverables Attached)
Completion of Phase I of Training for 50 EZ residents
$ 20,000.00 (50 at $400.00 per)
(Deliverables Attached)
Placement of 15 EZ residents in Internships
(Deliverables Attached)
$ 1,500.00 (15 at $100.00 per)
Total amount invoiced:
$ 22,500.00
MAKE CHECK PAYABLE TO: [Your Agency Name, Mailing Address and EIN]
Note: A complete and correct invoice submitted to the Contracts Department will reach the Fiscal Department within two business days, provided all deliverables are current and complete. The City's payment process takes four to six weeks from that time.
Updated 2/23/01
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