Consultant Service Request Invoice Template Page 2
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1
2CONSULTANT SERVICE REQUEST INVOICE
(Page Two)
CONSULTANT’S INVOICE
I have provided
(units in days, hours, etc. same as #7 above) of the
requested consultant services during the period
/
/
to
/
/
. I have/have
not (strike one) submitted a written report.
Consultant’s signature
Date
SS#
REQUESTOR’S CERTIFICATION OF INVOICE
I hereby certify:
1. The consultant’s fee specified in #7 (p. 1) is appropriate considering the qualification and normal
charges of the consultant and the nature of the services rendered.
2. The requested services have been performed as indicated on the Consultant’s Invoice.
3. The services were essential and could not have reasonably been provided by project staff.
4. The consultant was carefully selected and is well qualified to provide these services.
5. For consultant services rendered payment of $
is hereby approved (exclude expenses
claimed on Travel Expense Report).
Account (s) Chargeable
Amount (s)
Certified and Approved
(fee only)
Signature
Name
Revised 9/02
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