Offsite Scheduler Invoice

Your Name:  Tax ID Number:   invoice
Your Address: 	 E-mail: 			
Your City, St, & Zipcode:   	Invoice Number: 
Invoice Date:

Fill out the upper portion of the form completely. Enter the billing period (i.e., Jan 1-31)
in the box labelled "Administrative services for the period". Next enter dollar amounts
and descriptions (where indicated)for all appropriate line items. When completed,
calculate the grand total and enter that figure in the grand total box. Review the invoice
for accuracy and click Send button at the bottom to submit the invoice.

Description				Amount
Administrative services for the period:
Long Distance Phone Expense
Other Expense




Grand Total