HTML Preview Blank Voucher For on Website page number 1.
Date Description Amount Dept.
Budget Account Number
Total
Payee Name:
Amount Claimed:
Address:
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mount Approved:
Charge Department:
City: Commissioner:
State: Zip: Commissioner:
Chairman:
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I certify, under penalty of perjury, that this claim is just and
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correct and that no part of the claim has been paid by Big Horn
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County or by any other person.
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Date:
A
N
Signature X
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BIG HORN COUNTY, WYOMING
BIG HORN COUNTY CLERK . P.O. Box 31 . Basin, WY 82410-0031 . (307) 568-2357
ALL VOUCHERS WILL BE PRESENTED TO THE COMMISSIONERS AT THEIR REGULAR SCHEDULED
MEETINGS EACH MONTH. ACCOUNTS PAYABLES ARE PAID TWICE A MONTH.
6. BE SURE TO SIGN THE VOUCHER.
7. MUST BE INTO THE CLERK'S OFFICE EITHER THE FRIDAY BEFORE THE SECOND MEETING OF THE MONTH OR
THE 30TH OF THE MONTH.
2. FILL IN WHAT IT IS FOR (PARTS, SUPPLIES, ETC).
3. FILL IN THE AMOUNT.
4. FILL IN THE NAME AND ADDRESS OF WHO WILL BE RECEIVING THE WARRANT.
5. FILL IN THE DATE.
Invoice Number
File by the 30th of the Month with County Clerk
INSTRUCTIONS FOR FILLING OUT VOUCHER
1. FILL IN INVOICE NUMBER.
Department Head Initials: _____________________
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