Fillable Printable Commonwealth of Kentucky Department of Education Bureau of Finance Standard Invoice

Commonwealth of Kentucky Department of Education Bureau of Finance Standard Invoice

LaRue County Board of Education, P.O. Box 39, Hodgenville, Kentucky

Name of Vendor

Address

(All invoices must be promptlymade out in required formand filed with the Board “inwriting,itemizedand verified”

according tolaw. Aproperly prepared invoice shows exact kindof service, where, when and by whom performed; a

time and rateper day orhour and issigned by the vendor orhis authorized representative.)

Invoice No.AmountItems (furnished) or Work (done)Code No.

Purchase

Order No.

Commonwealth of Kentucky

DEPARTMENT OF EDUCATION

Bureau of Finance

STANDARDINVOICE

(This invoice should be sent directly to the local Board of

Education for payment.Do not send to State Office.)

Date

Vendor #

Project

Project #

TOTALFUND:

VENDOR’S CERTIFICATION

I hereby certify that the above is a correct statementof amount due from the above

named board of education for articles furnished or services renderedas itemized.

Signed

Approved for payment by Principal

Approved for payment by ProgramDirector

VENDOR LEAVE BLANK

Claim#

Check #

Amount Paid

Date Paid

Math Verified