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FROM: |
Name: | | |
Date: | | |
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Address: | | | | | |
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City: | |
State: | | |
Zip: | |
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Social Security / Tax ID Number: | | | | | |
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TO: |
Everett Public Schools / Accounts Payable | | | |
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P. O. Box 2098 | | | | | |
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Everett, WA 98213 - 0098 | | | | | |
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Contract Number: | | | | |
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Description of Goods and/or Services Delivered/Provided |
Amount | | |
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33 |
Number of hours to complete project/service: |
Total: |
$ | | | |
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37 |
Supplier Signature | |
Title | | | | |
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Approval for Payment | | | | | |
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Goods and/or Services have been received. | | | | |
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I hereby approve invoice for payment: | | | | |
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By: | | | | | | | |
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Code: | | | | | | | |
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