ACCOUNTS PAYABLE VOUCHER

ACCOUNTS PAYABLE VOUCHER
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
ADMIN or DIRECTOR: If you are verifying/approving this submitted Accounts Payable Voucher for payment, scroll down to the Admin Area to SIGN, DATE, and SUBMIT.
Payee Name (Person or company to be paid)*
Payee Address*

Street Address

Street Address Line 2

CityState

Zip Code
(OPTIONAL) Purchase Order No.
(OPTIONAL) Terms
(OPTIONAL) Date Due

MonthDayYear
Date

DETAILS*

	Description (note if attaching invoice/bill)	$ Amount	Invoice Number, if applicable
Item #1
Item #2
Item #3
Item #4
Item #5
Item #6
Item #7

TOTAL $ AMOUNT (READ ONLY)*
UPLOAD Receipt(s), Invoice(s), Bill(s), etc.*

Browse Files
Upload one or more files Cancelof
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services itemized thereon for which charge is made were ORDERED and RECEIVED EXCEPT the following (If applicable)
Date*

MonthDayYear
Date
If you know this will be paid from Federal Funds, select "Yes."*

No (or, I don't know)Yes, to be paid from Federal Funds

Additional Information or Comments (optional)
Signature of Submitter*

Clear
Name of Submitter*

First NameLast Name
Title/Role of Submitter*
Email Address of Submitter*
example@scsd2.k12.in.us
Since this will be paid from Federal Funds, select "Asst Superintendent (Federal Funds)" below to route your request.
Route to which admin/director for approval?*
Your submission will be routed to the individual selected above and upon their approval, it will be automatically routed to the Scott 2 Business Office for payment.
ADMIN AREA
My signature certifies that the attached invoice(s), or bill(s), is (are) true and correct and I have audited the same in accordance with IC 5-11--10-1.6.*

Clear
Admin Typed Name*

First NameLast Name
Date*

MonthDayYear
Date
Select below if you want a copy of your submission sent to your email address*

YES, email me a copy of my submissionNo
Should be Empty:

ADMIN AREA