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I.T. Invoice

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					                                   SAMPLE UNIVERSITY
                                     INVOICE DETAIL
September 12, 2011

Account / Receivable Number                         Invoice Number:                          Number

Agency                                              Project Period     From:               Start Date
                                                                       To:                  End Date
Account ID Number
                                                    Invoice Period     From:               Start Date
Principal Investigator                                                 To:                  End Date

Category                       Budget     Current        Cumulative            Current    Cumulative
                                        Expenses          Expenses        Cost Sharing   Cost Sharing
Salaries and Wages               0.00       0.00              0.00               0.00           0.00
Fringe Benefits                  0.00       0.00              0.00               0.00           0.00
Shipping & Communications        0.00       0.00              0.00               0.00           0.00
Domestic Travel                  0.00       0.00              0.00               0.00           0.00
Foreign Travel                   0.00       0.00              0.00               0.00           0.00
Fees                             0.00       0.00              0.00               0.00           0.00
Rentals                          0.00       0.00              0.00               0.00           0.00
Repairs                          0.00       0.00              0.00               0.00           0.00
Services                         0.00       0.00              0.00               0.00           0.00
Materials and Supplies           0.00       0.00              0.00               0.00           0.00
Conferences and Seminars         0.00       0.00              0.00               0.00           0.00
Consulting                       0.00       0.00              0.00               0.00           0.00
Employment Expense               0.00       0.00              0.00               0.00           0.00
Publications                     0.00       0.00              0.00               0.00           0.00
Student Aid                      0.00       0.00              0.00               0.00           0.00
Other                            0.00       0.00              0.00               0.00           0.00
Total Indirect Cost Base         0.00       0.00              0.00               0.00           0.00

GRA Salary                       0.00       0.00                0.00             0.00           0.00
Sabbatic Leave Salary            0.00       0.00                0.00             0.00           0.00
Premium Time                     0.00       0.00                0.00             0.00           0.00
Capital Equipment                0.00       0.00                0.00             0.00           0.00
Services - Central Computing     0.00       0.00                0.00             0.00           0.00
Services - Machine Time          0.00       0.00                0.00             0.00           0.00
Subcontracts                     0.00       0.00                0.00             0.00           0.00
Lease Purchases                  0.00       0.00                0.00             0.00           0.00
Tuition                          0.00       0.00                0.00             0.00           0.00
Total Exclusions                 0.00       0.00                0.00             0.00           0.00
Total Direct Costs               0.00       0.00                0.00             0.00           0.00
Indirect Costs                   0.00       0.00                0.00             0.00           0.00
Total Costs                      0.00       0.00                0.00             0.00           0.00
                                           SAMPLE UNIVERSITY

                                               INVOICE

Sample University                                                             P. O. Box 55
Sponsored Funds Accounting                                                    Sample, N Y
(555) 555-5555                                                                 15555-5555


September 12, 2011

Address Line 1
Address Line 2
Address Line 3
Address Line 4
Address Line 5




Invoice Number                                                    Number

Contract Number                                       Account ID Number
Project Title/PI                                     Principal Investigator

Sample University Account Number:            Account / Receivable Number

Request For Payment Per Attached Detail:                   $           -




CERTIFICATION: "I HEREBY CERTIFY THAT THE COSTS FOR WHICH REIMBURSEMENT IS
REQUESTED AND ANY CORRESPONDING COST SHARING ARE THE ACTUAL COSTS AS RECORDED
IN SAMPLE UNIVERSITY'S RECORDS AND AS EXPENDED FOR THE WORK ACTUALLY PERFORMED
IN ACCORDANCE WITH THE TERMS OF THE AGREEMENT."



Jane Doe, Supervisor, Sponsored Funds Accounting


                              Make checks payable to SAMPLE UNIVERSITY

				
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Description: I.T. Invoice document sample