Invoice Template - Blank printable pdf download

Invoice Template - Blank

INVOICE

INVOICE # XX001

DATE:

Name:

Phone:

Address:

Email:

Bill To:

For:

TMPA/SAFVIC

SAFVIC

6200 La Calma, Ste. 200

Dates:

Austin, TX 78752

Location:

DESCRIPTION OF ACTIVITY

AMOUNT TO BE

IN-KIND MATCH

REIMBURSED

SAFVIC 3-day

$850.00

Travel to [Aus] from [Dallas], [392] miles @

$225.40

$0.575/mile (Roundtrip)

Meals (per diem: $46.00/day) Original receipts

$47.21

attached.

Other:

Hotel (state rate $85.00/night) 3 nights-receipt

attached.

Laptop rental/depreciation

$50.00

Projector rental/depreciation

$50.00

Facility

$200.00

TOTAL:

$300.00

$1,122.61

Please make all checks payable to [Insert Name], for total amount and send to the address at the top of this form. If

you have any questions concerning this invoice, please call or email.

*Please note: You must travel a minimum of 50 miles one way in order to be reimbursed for mileage, per

diem, and lodging.

Invoice Template - Blank