Fillable Facture - Invoice Fournisseur de services - Service (University of Ottawa)

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Facture - Invoice Fournisseur de services - Service (University of Ottawa)

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Facture - Invoice
Représentant - Representative
Quantité - Quantity
Bon de commande - PO No.
Description
Date de service - Service Date
Prix unitaire - Unit Price
Terme de payment - Payment Term
Total
Pour l’utilisation de la Faculté de Médecine seulement - For Faculty of Medicine use only
Gabarit de facture fourni par l’Université d’Ottawa | Faculté de médecine | Service des achats et réception
Invoice template provided by the University of Ottawa | Faculty of Medicine | Purchasing and Receiving Services Version 1.0 - NOV-2015
Total partiel - Subtotal
Nᵒ de facture - Invoice No.
FOAP
Statut du service - Service Status
Approbation - Approval
X
Instruction spéciale - Special Instruction
Autre - Other
Date
Nᵒ HST - HST No.
Taxes
Total
Adresse de facturation - Billing Address
Fournisseur de services - Service Provider
Adresse de livraison - Delivery Address
Dr. Mohan Babu
3621 Green Moss Lane
1
Regina SK.
8-Mar-21
S4V 1M2
same as above
1501OP10487
5-Mar-2021
NET 30
1 hour
Advances in Biomedical research Seminar
500.00
Guest Speaker
Complet - Complete
154503
click to sign
signature
click to edit
GST/HST – DECLARATION FORM
Last revision March 2017
Financial reporting period: January to December 2021
Service Provider Complete Name
Dr. Mohan Babu
HST for non-clinical services to the university
The U of O has obtained expert accounting and legal opinions regarding non-clinical services provided to the Faculty
of Medicine. The program requires that any individuals with a self-employed status as per the Canada Revenue Agency
(CRA) RC4110 form, offering professional services to the University must individually invoice the University of Ottawa.
It is the responsibility of each individual to properly charge, collect and remit the HST to the Canada Revenue
Agency.
1. AS A SERVICE PROVIDER, I DECLARE:
☐ I confirm that my total source of all revenues for this specific type of service from worldwide taxable supplies
exceeds $30,000; and I am registered to charge, collect and remit GST/HST. Thus GST/HST shall be
charged and I am eligible to claim (Input Tax Credit) ITCs. I acknowledge full responsibility to charge, collect
and/or remit the GST/HST on taxable supplies of goods and services.
GST/HST Number: ______________________________
☐ I confirm that my total source of all revenues for this specific type of service from worldwide taxable supplies
does not exceed $30,000; and I am voluntary registered to charge, collect and remit GST/HST. Thus
GST/HST may be charged and I am eligible to claim (Input Tax Credit) ITCs. I acknowledge full responsibility
to charge, collect and/or remit the GST/HST on taxable supplies of goods and services.
GST/HST Number: ______________________________
☒ I confirm that my total source of all revenues for this specific type of service from worldwide taxable supplies
does not exceed $30,000 and I am not registered for a GST/HST account with the CRA – Canada
Revenue Agency. Thus GST/HST will not be charged to the client and I cannot claim ITCs. I acknowledge
full responsibility to collect and/or remit the HST to the CRA if requested by the Government of Canada. I am
responsible to verify my status with CRA before filling out this form.
GST/HST – DECLARATION FORM
Last revision March 2017
2. SERVICE PROVIDER PAYMENT INFORMATION
PAYMENT REMITTED TO
Please check Payee Status and complete applicable
section below.
☒ Individual ☐ Organization
INDIVIDUAL PAYEE STATUS
If checked payee status “Individual”, indicate Legal Name, SIN Number and complete address, to remit
payment to.
Individual (Legal) Name
Dr. Mohan Babu
SIN Number
Complete Address
3621 Green Moss Lane, Regina, SK S4V 1M2
ORGANIZATION PAYEE
STATUS
If checked payee status “Organization”, indicate Legal Name and complete address, to remit payment to.
Organization (Legal) Name
Complete Address
I certify that I can legally bind this declaration to the Organization
I certify that the information given on this form and its attachments is correct and complete.
____________________________________ [Date] Jan 21, 2021___________
Signature - Service Provider
|
Université d’Ottawa University of Ottawa
ADVANCES IN BIOMEDICAL
RESEARCH SEMINAR SERIES
LA SÉRIE DE SÉMINAIRES SUR LES PROGRÈS DE
LA RECHERCHE BIOMÉDICALE
”Inhibition of Human Nucleotide Sanitation
Enzymes for Cancer Suppression”
Friday, March 5, 2021
Vendredi 5, mars, 2021
11 a.m. to 12 p.m.
11h à 12h
Virtual Zoom Seminar
Séminaire de Zoom virtuel
Dr. Mohan Babu
Associate Professor/Professeur agrégé
Department of Chemistry and Biochemistry, University of Regina,
Saskatchewan/Département de chimie et biochimie, Université de
Regina, Saskatchewan
Faculté de médecine/Faculty ofMedicine
Études supérieures et postdoctorales
Graduate and Postdoctoral Studies
med.uottawa.ca gad.med@uottawa.ca
med.uOttawa.ca/grad grad.med@uOttawa.ca
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Facture - Invoice Fournisseur de services - Service (University of Ottawa)

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Completed 8 March 2021

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