DATE INVOICE RECEIVED
SCHEDULE NO.
DISCOUNT TERMS
PAYEE'S ACCOUNT NUMBER
GOVERNMENT B/L NUMBER
NUMBER AND DATE OF ORDER
DATE OF DELIVERY OR SERVICE
UNIT PRICE
PROVISIONAL
COMPLETE
PARTIAL
FINAL
PROGRESS
ADVANCE
COST
PER
APPROVED FOR
Pursuant to authority
Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment.