"Independent Contractor Invoice Template"

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Independent Contractor Invoice
PO #:______________________
Banner Invoice #:______________________
Internal Distribution: ____________________________________________________
Сontractor
Required for Payment
Name: ____________________________ SSN: _____________________________
Telephone/Fax: _____________________ Employer ID: ______________________
Mailing Address: ______________________________________________________
Date(s) of Service: _____________________________________________________
Date(s) of Service:
Notes/Comments:
Other
Ground
Fee
Meals
Lodging
Airfare
Total
Expenses
Transportation
Total:
Note: First class or business flights will not be approved. Personal automobile will be
reimbursed at current IRS rates only. Expenses greater than $25 will not be paid
unless original receipts are attached.
Contractor must submit all original receipts to the hiring administrator.
___________________
___________________
___________________
Signature
Contractor
Date
©
TEMPLATEROLLER.COM
Independent Contractor Invoice
PO #:______________________
Banner Invoice #:______________________
Internal Distribution: ____________________________________________________
Сontractor
Required for Payment
Name: ____________________________ SSN: _____________________________
Telephone/Fax: _____________________ Employer ID: ______________________
Mailing Address: ______________________________________________________
Date(s) of Service: _____________________________________________________
Date(s) of Service:
Notes/Comments:
Other
Ground
Fee
Meals
Lodging
Airfare
Total
Expenses
Transportation
Total:
Note: First class or business flights will not be approved. Personal automobile will be
reimbursed at current IRS rates only. Expenses greater than $25 will not be paid
unless original receipts are attached.
Contractor must submit all original receipts to the hiring administrator.
___________________
___________________
___________________
Signature
Contractor
Date
©
TEMPLATEROLLER.COM