07/1252 - MCU - Detached House [As Published] · 132007.1252

 

 
 

 

«21 NOOSA COUNCIL

REQUEST FOR DEBTORS INVOICE — -

«

 

_| Accounts Receivable Use Only | .
DEBTOR NO: . INVOICE NO:

 

 

 

 

DEBTOR WANE: | Sunuioast willing LyLy2ro VAL |
DEBTOR ADDRESS: PO tox C4 :

 

Maroochydore A ILS A

 

 

 

 

 

 

 

 

 

DETAILS TO APPEAR ON THE INVOICE: Applicaton bor MLu at
S2.2/  \ Noose, Spada Ar. Nise sea. tHeacofec
| Ar pO-f oy-i2¢R A ef. ;
AMOUNT (Excluding GST) | | $ S76 00
GST AMOUNT | $ -
TOTAL AMOUNT (Including GST) | $ SIL: 00
| | | Master ‘Sub Activity
REVENUE GENERAL LEDGER NUMBER: 12000. 403 704
Work Order Number Task Activity

 

 

 

 

REVENUE WORK ORDER NUMBER:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AUTHORISING OFFICER'S SIGNATURE: : P> Kien

AUTHORISING OFFICER'S NAME: (Please Print) (5 | SWVEEney

DATE: 29 elo contacto: — /97) S#9q £247
_| POST INVOICE OR RETURN TO

Piease Note! All of the sections above MUST be completed.

 

 

Office Use Only

Revenue Account Name:

 

Revenue Type: ©

 

 

 

 

 

 

 

 

 

 

 

 

 

‘GST: YES HO Processed

 

AR e:\prod\word\forms\requestdebtorsinvoice.doc - 29/2/2007