07/2448 - MCU - Detached House [As Published] · 132007.2448

 

NOOSA COUNCIL

   

REQUEST FOR DEBTORS INVOICE

 

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

 

 

 

 

 

DEBTOR NAME: Stncoert Ox terre, Appavats
DEBTOR ADDRESS: fa fence 1054

 

ahLoeciitiDbere Wie GSS E

 

DETAILS TO APPEAR ON THE INVOICE: © Apt ttm bar Med ate

v

® 13 Barksca, Are NoeSA Hen aS YSeT
Uc pete: 27/206 ou ref OP) 248

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AMOUNT (Excluding GST) $ 68O
GST AMOUNT . $
TOTAL AMOUNT (Including GST) $ 680
Master . , Sub Activity
REVENUE GENERAL LEDGER NUMBER: — 1eeco | Mf.-3 TOs
Work Order Number Task Activity
REVENUE WORK ORDER NUMBER: - .
@ autuonrisine oFFicer’s siGHATURE: | PS Rovae. 4
| AUTHORISING OFFICER'S NAME: (Please Print) PS Sven A =
DATE: _ PAlaler. CONTACT HO: DUIS ZFS
4 POST INVOICE OR RETURK TO

 

 

 

Please Hote! All of the sections above MUST be completed.

 

Office Use Only

‘| Revenue Account Name:

 

Revenue Type:

 

 

 

 

 

 

 

 

 

 

‘GST: _ YES HO Processed

 

 

 

 

 

 

ARe: \prod\word\forms\requestdebtorsinvoice.doc 27/2/2007