Office USE
Cheque Number
Date of Cheque mm/dd/yy
Office USE - Contract Worker Record
Amount
Contract Worker Record
Communautaire Centre de Roxboro * roxborocommunitycenter@yahoo.ca
Name
*
First Name
Last Name
E-mail
*
SECTION A: Select Contract
Kung Fu
Admin/Tai Chi
Day Camp
Pool
Triforce
Other
Please fill in from what date to what date your this invoice period is for and the hours that you required to fulfill your invoicing period. Please note that because you are contract worker , no deductions get taken off. You are to fulfill your contract as discussed and you invoice the hours you took to complete for the specific period
SECTION B: $ Amount of invoice
Click below to indicate your electronic signature
Electronic Signature is indicated
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