Independent Contractor Invoice Template

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PO#
Internal Distribution:
Banner Invoice#
Original - Accounts Payable
Copy - Department
INDEPENDENT CONTRACTOR INVOICE
Contractor:
Required for Payment:
Mailing Address:
SSN:
Or Employer ID Number:
Telephone:
Fax:
Date(s) of Service:
Description of Services:
Notes/Comments:
Fee
Meals
Airfare (First class or business will not be approved)
Ground Transportation (Personal automobile will be
reimbursed at current IRS rates only)
(
miles @
¢)
Lodging
Other Expenses (Note: Expenses greater than $25 will not
be paid unless original receipts are attached)
Total
(Contractor must submit all original receipts to the hiring administrator)
Signature:
Contractor:
Date:
revised 12/11/03
Page 1
PO#
Internal Distribution:
Banner Invoice#
Original - Accounts Payable
Copy - Department
INDEPENDENT CONTRACTOR INVOICE
Contractor:
Required for Payment:
Mailing Address:
SSN:
Or Employer ID Number:
Telephone:
Fax:
Date(s) of Service:
Description of Services:
Notes/Comments:
Fee
Meals
Airfare (First class or business will not be approved)
Ground Transportation (Personal automobile will be
reimbursed at current IRS rates only)
(
miles @
¢)
Lodging
Other Expenses (Note: Expenses greater than $25 will not
be paid unless original receipts are attached)
Total
(Contractor must submit all original receipts to the hiring administrator)
Signature:
Contractor:
Date:
revised 12/11/03
Page 1

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