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07/2323 - MCU - Detached House [As Published] · 132007.2323

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NOOSA COUNCIL eee

REQUEST FOR DEBTORS INVOICE |

 

 

_| Accounts Receivable Use Only :

 

 

| INVOICE NO:

 

DEBTOR NO:
DEBTOR NAME: Sturesark Bix Cheater Apprwats
" DEBTOR ADDRESS: fo force 1OSY

 

 

prhowent idee Qo  YIVE _

 

  

DETAILS TO APPEAR ON THEINVOKE: = Avot coer fer~ AM? ate
: TT 7 +

 
 

 

    

 

DATE:

 

 

<

 

 

TV lea. ak ,.  O)- 2302.
Qu: ref! = D7 2323 : .
AMOUNT (Excluding GST) a $ 680
"GST AMOUNT a) .
TOTAL AMOUNT (Including GST) = , —  § 680
/ . | Master - . oS Sub Activity
REVENUE GENERAL LEDGER HUMBER: - feeco | Yr-3 T°3
Work Order Number Task Activity
_ REVENUE WORK ORDER NUMBER:
“ AUTHORISING OFFICER'S SIGNATURE:
AUTHORISING OFFICER'S HAME: (Please Print) PS Sree

POST INVOICE

 

 

 

 

 

 

 

 

 

 

| 3lufez ~ contacto: /% Ar‘e~. 4

OR RETURN TO

 

 

 

 

 

Please Note! All of the sections above MUST be completed. ©

 

 

‘GST:

Office Use Only
‘Revenue Account Name:

Revenue Type: —

 

 

 

 

 

 

 

 

 

 

 

 

 

YES HO Processed

 

 

 

AR ¢:\prod\word\forms\requestdebtorsinvoice.doc

27/2/2007

 

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