09/1474 - Preliminary Building Works [As Published] · 172009.1474

 

NOOSA COUNCIL

REQUEST FOR DEBTORS INVOICE

 

 

Accounts Receivable Use Only

 

 

 

 

 

 

 

DEBTOR HO: INVOICE HO:
DEBTOR KANE: Suc cmaat Rurtolita  Appraad
“J Vi
~ DEBTOR ADDRESS: 00 brome [OS
An i cocHt Boke, Less

 

 

 

 

 

 

 

Le Py prasod ~ tpy  Plarper SE Pere Gaza Boacn —
P_4- meq. OF 220 Our mf 0G) i rf -
AMOUNT (Excluding GST) 8 P72
ST AMOUNT 6 : a
TOTAL AMOUNT (Including 6sT) Ҥ 72h
. a . Master. Sub Activity ©
REVENUE GENERAL LEDGER NUMBER: [2eoo - | 423 | Ve
so Work Order Number Task

Activity

 

 

 

 

REVENUE WORK ORDER HUMBER:

 

" AUTHORISING OFFICER'S SIGNATURE:
(© AvTHORISING OFFICER'S NAME: (Please Print)

DATE:

 

 

 

 

 

 

 

 

~P> Kowa

fS susesnsent O

conTAcT NO: 2 3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

eEZh<do
POST INVOICE ‘OR RETURN TO
‘Please Note! All of the sections above MUST be completed. -
| Office Use Only
Revenue Account Name:
Revenue Type: .
| est: YES KO Processed -

 

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

** 27/2/2007