Common use of SAMPLE INVOICE TEMPLATE Clause in Contracts

SAMPLE INVOICE TEMPLATE. Senior Non-Emergency Medical Transportation Program To: County of Orange, OC Community Resources 0000 X. Xxxxxxxx, 0xx Floor Santa Ana, CA 92706 Attn: Accounts Payable Service Area: Contract # Check Request For: INVOICE: Month Year BUDGET: REM. BAL: Amounts Invoiced Invoice Number Number Total Rate Per Month Previous Contract Contract Mileage Type of Trips Miles Mile Subtotal To Date To Date

SAMPLE INVOICE TEMPLATE. Senior Non-Emergency Medical Transportation Program To: County of Orange, OC Community Resources 0000 X. Xxxxxxxx, 0xx Floor Santa AnaXxxxx Xxxxx Xxx, CA 92706 XX 00000 Attn: Accounts Payable Service Area: Contract # Check Request For: INVOICE: Month Year BUDGET: REM. BAL: Amounts Invoiced Invoice Number Number Total Rate Per Month Previous Contract Contract Mileage Type of Trips Miles Mile Subtotal To Date To Date