Required Information for Invoice Preparation
Today's Date
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Submit by Email
5/12/09
Email/print directly from form, or Save pdf & email as an attachment to Jenny: jmerrifi@healthy.uwaterloo.ca If you have any questions please do not hesitate to contact me (BMH 1107 ext. 32917)
Customer/Company/Organization
Address
City Prov/State Ontario Postal code Country Canada Date service was performed/provided Contact Person/Attn Email Phone Number Fax Number
Description of ServiceProvided Cost per Unit/Hr # of Units/ Hrs GST/PST required? Total $
Commments/ Instructions (Will not appear on Invoice)
Account to be credited Documentation attached * Documentation to be sent at a later time
*Please provide some documentation stating the request for or the agreement to provide the service (s) to be billed