1. Sheet1

 ABCDEFG
1 FROM: Name:   Date:  
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3  Address:     
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5  City:  State:   Zip: 
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7  Social Security / Tax ID Number:     
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10 TO: Everett Public Schools / Accounts Payable   
11  P. O. Box 2098     
12  Everett, WA 98213 - 0098     
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14   Contract Number:    
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17 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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40   Approval for Payment     
41  Goods and/or Services have been received.    
42  I hereby approve invoice for payment:    
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44 By:       
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46 Code:       

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