ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
If you need reimbursement for a Don't Waste It! workshop, complete the invoice template on the second sheet following the instructions below.
2
3
1)Date- Enter the date the invoice will be submitted.
4
2)
Bill To- enter:
5
Your name
6
Your organization's name- leave blank if reimbursement is going to you.
7
Address
8
City, State, Zip Code
9
Phone Number
10
Email Address
11
3)
Description- Include a brief description of the items or service provided. List different items on separate lines.
12
Example, "Provided lunch for attendees at workshop."
13
Example, "Staff time for planning and facilitating workshop. 10 hours x $15 per hour."
14
Example, "Traveled 60 miles to facilitate workshop."
15
Example, "Rented van for landfill tour during workshop."
16
4)
Quantity- If applicable, provide a quantity.
17
Include a quantity for items per person, like lunch.
18
5)
Amount- Put the amount of reimbursement requested per item listed.
19
6)
Total- Put the total amount of reimbursement requested.
20
7)Include receipts or maps with mileage.
21
8)Complete section for who the check should be made out to.
22
If you selected an electronic transfer of funds on the Vendor Application, leave blank.
23
24
Send the completed form to Shannon Culpepper at shannon.culpepper@chathamcountync.gov
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100