Invoice Correction Notice

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					                              LOS ANGELES COMMUNITY COLLEGE DISTRICT
                               DEPARTMENT OF FACILITIES PLANNING AND DEVELOPMENT
                                             SUSTAINABLE BUILDING PROGRAM



                           NOTICE OF CORRECTION/REJECTION OF INVOICE

 College:                                                          Vendor:

 Project Name:

 Project No.:

 Contract No.:
 AGENCY                                                            OTHER REASONS
 Los Angeles Community College District (LACCD)
 BY


 TITLE                                       DATE


                                                                                   INVOICE NO.


                                                                                   DATE OF INVOICE

 TO                                                                                INVOICED AMOUNT
                                                                                   $
                                                                                   DISALLOWED AMOUNT
                                                                                   $
                                                                                   CORRECTED AMOUNT
                                                                                   $

REASON(S) FOR DELAY OF INVOICE PROCESSING:
         Contract/Amendment have not been fully executed
         Contract has not been Board approved
         Amount of invoice exceeds contract value
         No Unconditional / Conditional Waiver
         Missing documents
         Invoice amount is incorrect
         Unauthorized personnel/PAR
         Item(s) listed on invoice are not specified in contract
         No Task Order / Subtask Order attached
         Other –

REASON(S) FOR THE CORRECTION/REJECTION:




Form CP-0140                                         Page 1 of 1                                       Rev.6.03.2010

				
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Description: Invoice Correction Notice document sample