Trade Partner Invoice

Trade Partner Invoice
Please complete all details below to submit your application for payment, this form is required for all payment requests.

Clean23, Inc
Project Name*
Your Business Name. *
If no business name, type NA.
Today’s Date*

MonthDayYear
Date
Project Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Trade Partner*

Cleaning BusinessSite ManagerJob Walk AgentDay Labor Pro
Cleaning Completion Date*

MonthDayYear
Date
Purchase Order Number*
Dollar Amount of Purchase Order*
INCLUDE $ SIGN IN REQUEST ABOVE.
Dollar Amount Requested This Invoice*
INCLUDE $ SIGN IN REQUEST ABOVE.
Description of Work Completed/Billed.*
Preferred Payment Method.*

CashAppZelleMailed Check
Preferred User Name Username*
How do we send money
Your Name*

First NameLast Name
Your Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Phone Number*
Please enter a valid phone number.
Your Email*
example@example.com
STOP!!!

PLEASE SEND YOUR REQUEST FOR PAYMENT USING YOUR PREFERRED METHOD, REQUEST TO THE FOLLOWING:

CASHAPP: $REALCLEAN23

ZELLE: (916) 367-8529
Have you sent your payment request?*

YesNo
Standard payment terms are Net-30 days, in many cases we can offer faster payment. Required items needed for payment include:

- Completed Purchase Order

- Complete Invoice Form (this form)

- Completed W9 Form

After your cleaning scope of work is completed, Clean23 needs to have the areas reviewed, and signed off. If you have any questions please email PROJECTS@CLEAN23.COM.

Thank you!
Should be Empty: