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State Fiscal Year:
2023
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To: Accounting Operations-A/P
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From: High School Initiatives
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2022-23 International Baccalaureate Student Exam Reimbursement Invoice
RE: Payment for IB Exam Reimbursement
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Program Information
Invoice Information
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District/School Name:Select from dropdownInvoice Number:#N/A
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District/School Number: Final Exam Date (MM/DD/YY):
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Name of person submitting this invoice:Invoice Date (MM/DD/YY):
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Phone # of person submitting:Invoice Total:
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Email of person submitting:
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SWIFT Vendor Number:
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Site InformationSite 1Site 2Site 3Site 4Site 5Site 6
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Site Name:
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2022-23 Total IB Exams
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# of IB Exams qualified for full reimbursement
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# of IB Exams qualified for partial reimbursement - - - - - -
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Total Full Reimbursable Amount by Site ($119) $ - $ - $ - $ - $ - $ -
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Total Partial Reimbursable Amount by Site ($60*) $ - $ - $ - $ - $ - $ -
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Total Reimbursable Amount* $ -
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*this amount may increase based on available funds remaining at the end of Fiscal Year 2023.
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Submit via e-mail to
MDE.AccountsPayable@state.mn.us
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FOR MDE USE ONLY
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Payment Amount $ - PO#:
E3701-3000027783
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2022-23 IB Student Exam Reimbursement Invoice, Revised 3/7/2023
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