The Trustees of the California State University CALIFORNIA STATE UNIVERSITY, DOMINGUEZ HILLS
SERVICE INVOICE
Account No.: Name* Street Address:
City
State
Zip Code
To:
California State University, Dominguez Hills 1000 E. Victoria Street Carson, California 90747 For Services Rendered:
(Type of services rendered)
Date:
___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________
on
Total: $
I hereby certify that the services as described on this invoice have been rendered and payment of same is in order.
Signature of Authorized University Employee
*Contractor’s Signature
(Please sign as your name appears above)
Submit in Duplicate
Updated 2/04 FORM 8 A/P(JM)