Consulting Invoice Template
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1Consulting Invoice
Please fill out, print, sign, and submit.
General Information
Name
Name of your contact at CPC
Email or
Telephone No.
Home address Line#1
Line#2
City/State/Zip/Country
Services
Description of services rendered
Amount
$
Country in which work was performed:
Daily or hourly rate, if applicable $
Number of days/hours worked:
hrs OR
days
Period covered
through
Percentage of work performed in North Carolina*
%
(Work performed in North Carolina is subject to NC income tax withholding.)
_____________________________________
_________
Signature
Date
Form submission
Email, FAX or mail to: Ms. Connie Padgett
Email: connie_padgett@unc.edu
Mailing address: Carolina Population Center
206 W. Franklin St., Rm 208
Fax: 919-445-0741 (Please send Ms. Padgett
Chapel Hill, NC 27516
an email indicating that you have faxed this
form.)
(07/2014)
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Parent category: Business