INVOICE INVOICE NO.
LOUISIANA TECH UNIVERSIT
Y
PLEASE REFER TO ABOVE NUMBER
P.O. Box 7924 ON REMITTANCE ADVICE OR RETURN
Ruston, Louisiana 71272 THIS SECTION WITH PAYMENT.
DATE
CUSTOMER ORDER NO.
Make Check Payable to
LOUISIANA TECH UNIVERSITY
Mail to: OFFICE OF THE COMPTROLLER
P.O. BOX 7924
RUSTON, LA 71272
DESCRIPTION AMOUNT
UNIVERSITY DEPARTMENT INSTRUCTIONS: ACCOUNT NUMBER (CR)
Use this form for invoicing other than Louisiana Tech
University departments. Prepare in four copies and
forward three copies to the Comptroller retaining fourth
copy for your department file.
APPROVED - HEAD OF DEPARTMENT
APPROVED
COPY DISTRIBUTION: WHITE-Customer; CANARY AND PINK-Comptroller; GOLDENROD-University Department