Invoice Information Sheet - Free Download | Page 4
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Invoice – Non GST Registered
Date:
Name: ____________________________
Address___________________________
__________________________________
__________________________________
To: AsureQuality Limited, HAMILTON
SERVICES RENDERED – (Enter Name of Response, Location and Date as per Heading above)
Reimbursement of (Enter Details eg: Labour and vehicle costs) (as per attached (Enter Name and Location of
Response) Invoice Supporting Documentation)
(Complete Reimbursement Details as per Example Below)
Total Hours _________ @ ($0.00 Enter Rate) $ __________________
Total Km’s _________ @ (.00 cents Enter Rate) $ __________________
Other Items please detail and attach receipts $ __________________
___________________________________
Total $ __________________ (NIL GST)
Contact Phone Number: ________________________
COMPLETE BANKING DETAILS BELOW - PLEASE ALSO ATTACH BANK DEPOSIT SLIP
PLEASE “PRINT CLEARLY”
Bank Name: ____________________
Branch: ________________________
Account name: __________________________________________________
Account No (FULL Details): _____________________________________________________
(Office Use)
Approved: _______________________ Date: _______________
(Approved by Operations Logistics Managers/ Logistics Coordinator only)
Print Name: ______________________ Date Sent to Finance for Payment: ______________
Retain Copy for Financial & Auditing Purposes
Code: (ENTER FULL RESPONSE CHARGE CODE)
