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 promptly made out in required form and filed with the Board “in writing, itemized and verified”

according to law. A properly prepared invoice shows exact kind of service, where, when and by whom performed; a

time and rate per day or hour and is signed by the vendor or his authorized representative.)

Invoice No. Amount Items (furnished) or Work (done) Code No.

Purchase

Order No.

Commonwealth of Kentucky

DEPARTMENT OF EDUCATION

Bureau of Finance

STANDARD INVOICE

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

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

Date

Vendor #

Project

Project #

TOTAL FUND:

VENDOR’S CERTIFICATION

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

named board of education for articles furnished or services rendered as itemized.

Signed

Approved for payment by Principal

Approved for payment by Program Director

VENDOR LEAVE BLANK

Claim #

Check #

Amount Paid

Date Paid

Math Verified