Sample Invoice Template Page 2
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1
2INVOICE
Subcontract No. G00
Bill to:
Sponsored Programs Services
Invoice No.
Washington State University
PO Box 641025/240 French Admin Bldg
Invoice Date:
Pullman WA 99164-1025
Reference:
Billing period for expenses being claimed :
Current Period
Cumulative
Expenditures
Expenditures
Salaries
Wages
Benefits
Travel
Supplies
Services
Equipment
Other expenses <itemized/described below>
Total Direct Costs
F & A Costs (Indirect Costs)
Total Amount this Invoice
$
Please contact
at -
or contact
@
if you have questions regarding this invoice.
By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the expenditures,
disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of this award. I am aware that any false,
fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false
statements, false claims or otherwise.
Signature: ____________________
Remit Payment to:
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