Common Contracts
1 similar Invoice Agreement contracts
ContractInvoice Agreement • May 31st, 2001
Instructions Invoice Number This is the number assigned by the Contractor for the invoice. Cost Agreement # (CA#) This is the authorization number assigned by the Department. This number may be found on the letter from the Department approving the scope of work. Contractor This box is to be checked if payment is to be made to the Contractor Owner or Operator/ Responsible Party This box is to be checked if payment is to be made to the owner/operator of the underground storage tanks or their authorized agent. Cancelled Checks Copies of the front and back of the cancelled checks must be submitted to the Department if the Owner/Operator is the payee or if the cost is to be applied to a SUPERB deductible. The cancelled checks should be attached to the invoice form. If you have not received the cancelled check from your banking institution, you may request the Contractor to provide a notarized statement certifying the amount of payment that has been received. Amount Requested This is the am
