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Form#AP200
R08/02
STANDARD INVOICE
Hardin County Board of Education
65 W. A. Jenkins Road
Elizabethtown, KY 42701
VENDOR NAME: ___________________________________________
EMPLOYEE NAME:
Send Check To: School
Hold at Central Office
Mail to:
(All invoices must be promptly made out in required form and filed with the Board “in writing, itemized and verified” - according to law. A
properly prepared invoice shows exact kind of service, where, when, and by whom performed; also time and rate per day or hour and is signed by
the vendor or his/her authorized representative.)
DATE DESCRIPTION AMOUNT
Note: Staple receipts to back of standard invoice. State Tax will not be reimbursed.
For C. O. Use
VENDOR
ORG#
UNIT-FUND-KEY
OBJECT PROJECT
FUNDING APPROVAL
SIGNATURE
TOTAL
AMOUNT
VENDOR’S CERTIFICATION
TOTAL STANDARD INVOICE $
I hereby certify that the above is a correct statement of amount due from the
above named board of education for articles furnished or services rendered as
itemized.
Signed
Vendor/Employee
Date
Vendor W-9 On File
Yes No
C.O. Use Only: Invoices for attached
Check have been checked by
HCBE/AP/__________