Invoice No. ============================================================= Please remit $ to [Title Company] for the purchase of [fee title] or [an agricultural conservation easement] on Farm/Ranch in County. Match funding for the acquisition will be provided by the at $ . Signature of Authorized Signatory TO: Department of Conservation Date: Division of Land Resource Protection Attn: (grant manager) 000 X Xxxxxx, XX 00-00 Xxxxxxxxxx, XX 00000 For expenditures under this grant during the timeframe: [Note: The actual invoice line items for Associated Costs should correspond exactly to the line items listed in the Grant Agreement Budget page.] Name of Grant Agreement Signatory or Designee <.. image(Template for Invoice Dispute Notification. ) removed ..>
Invoice No. Your Next Sevice Due: ............................................ Signature: .......................................................................................................................................... Dealer Stamp Date: ........................................................Mileage / Kilometres: ................................................
Invoice No. Total request in this invoice: $ Associated costs SALC GRANTEE MATCH Totals $ $ Approval Amendment
Invoice No. Total request in this invoice: $
Invoice No. Your Next Sevice Due: ............................................ Signature: .......................................................................................................................................... Dealer Stamp This Policy is transferable at the Insurer’s discretion on the direct sale of the insured vehicle to a new PRIVATE OWNER providing there are no pending claims on the vehicle. To effect transfer this Policy with the transfer request section duly completed and a fee of €40.00 must be sent by recorded delivery to MAPFRE ASISTENCIA Agency Ireland, Ireland Assist House, 00-00 Xxxxxxxx Xxxx, Xxxxxx, within ten days of the date of the sale of the vehicle. No transfer request can be dealt with after this period and the Policy will not be transferable on any subsequent change of ownership. (Proof that the service schedule has been complied with must also be provided). Mr/Mrs/Miss: ................................................................................................................................................ Address: ........................................................................................................................................................ I/We have read and agree to abide by the terms and conditions of the Policy and request that all rights and benefits of the Policy be transferred to me/us. New Owner Signature: ............................................................................................................................
Invoice No. Invoice Date Consignment Note (Certificate of Work Performed, Services Rendered) No. Consignment Note (Certificate of Work Performed, Services Rendered) Date Amount of the assigned Monetary Claim, rub. Supply Amount in the Contract Currency1 {Invoice} No. 2 {Invoice} Date 2
Invoice No. Total request in this invoice: $ Attachment 6: Invoice Templates
Invoice No. Associated costs CFCP GRANTEE MATCH Totals $ $ Attachment 7: Invoice Dispute Notification Template Exhibit C: General Terms and Conditions
Invoice No. Associated costs SALC GRANTEE MATCH Totals $ $
Invoice No. 33/2011 - Whim Skills Centre – eighty-two thousand three hundred and forty dollars ($82,340.00).
