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                         Consultant Invoice Submittal Form

 Consultant  Info.

 Date of Job:  Example: 10 Jan 04 or 7 Mar 05     

 Your Location:

 Name: (Last)         

 Authorization Code:
__________________________________________________________________________________

 Customer Info.

 New Customer:             

 Name: (Last)      Name: (First)

 Area Code:     Phone No. Example: 555-5421

 Street Address:
                                                              
 City:        Zip Code:

 Email:         Referred By: 
               A Valid Email address expedites payments                                       Very important please inquire
 PC Make:         Model:

 Operating System:
__________________________________________________________________________________

 Job Description

 Billing Rate:

 Job Type:       

 Job Status:

  Maintenance Performed

 Item 1:      Billable Time:
                       Example: Removed virus, installed IE v6.1, updated windows and AV definitions                                    Example:   3.25

 Item 2:     Billable Time:

 Item 3:     Billable Time:

 _____________________________________________________________________________________

 Parts Used
 
 Item 1 Part Type Used:

    Item Description:
                                                   Example: 10GB Hard Drive, 56k PCI Modem or 32mb AGP Video Card 

    Item Sale Price: (ONLY if non-standard price) $ Example: 25.00, 7.00, 9.50

 ________________________________________________________________________________________________________________

 Item 2 Part Type Used:

    Item Description:
                                                   Example: 10GB Hard Drive, 56k PCI Modem or 32mb AGP Video Card 

    Item Sale Price: (ONLY if non-standard price) $ Example: 25.00, 7.00, 9.50

________________________________________________________________________________________________________________

 Item 3 Part Type Used:

    Item Description:
                                                   Example: 10GB Hard Drive, 56k PCI Modem or 32mb AGP Video Card 

    Item Sale Price: (ONLY if non-standard price) $ Example: 25.00, 7.00, 9.50

_________________________________________________________________________________________________________________

 Amount Paid     Payment Method         Check No.

 

 

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Last modified: Wednesday April 27, 2005.