Procurement and Contract Services
P.O. Box 425439 / Bralley Annex
Denton, TX 76204-5439
P
:
(940) 898-3812
F
:
(940) 898-3519 ● twupayables@twu.edu
Rev: 12/18
Payment Voucher for Individual Services
Please type or print form. If you have questions in completing this form, contact TWU Accounts
Payable (940) 898-3536
.
Upon completion, send to: TWU Procurement and Contract Services Office,
PO Box 425439, Denton, TX 76204-5439. Form may also be emailed to: twupayables@twu.edu
PURCHASE INFORMATION
Date Purchase Order Number
Department Account Number
Payee Name
Remit Street Address City State Zip Code
Service Date Description of Service Amount
Total
APPROVALS
Print Name Signature
Print Department Approver’s Name Department Approver’s Signature
Note: If the individual is from a foreign country, please contact TWU Human Resources for additional instructions.
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signature
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signature
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