INVOICE REQUEST FORM
CAMPUS FOUNDATION ASI SITE AUTHORITY UGC
ISSUE INVOICE TO:
Name: _______________________________________________________________________________
Attention: ____________________________________________________________________________
Address: _____________________________________________________________________________
City, State: ________________________________________________ Zip Code: ___________________
Description (to appear on invoice):
CI ACCOUNTS RECEIVABLE HANDLING INSTRUCTIONS:
ISSUE INVOICE VIA:
Mail
Other
Email
Provide Email address(s):
DOCUMENTATION:
Include Attached
Do Not Include Attached
PAYMENT TERMS:
Due Upon Receipt
Net 10 Days (N/10)
Net 30 Days (N/30)
Other Terms
__________________________
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Supporting Documentation must be attached to the request
CHARTFIELD:
Account
Fund Department Program Class Project Amount
Total Request
Requested by: _________________________________ Phone ext: x______ Request Date: ____________
Please submit completed requests to Michelle Hense – michelle.hense@csuci.edu
Accounting Use:
Customer No. ___________________ Invoice No._____________________
