Laserfiche WebLink
VENDOR <br />INVOICE <br />VENDOR <br />INVOICE <br />DATE <br />DESCRIPTION OF EQUIPMENT PURCHASED <br />VENDOR NAME <br />INVOICED <br />AMOUNT <br />TRANSACTION <br />NUMBER <br />TRANSACTION <br />DATE <br />CHECK/ <br />VOUCHER <br />NUMBER <br />CHECK <br />AMOUNT <br />PAYMENT TYPE <br />USED <br />PROOF OF PAYMENT <br />PROVIDED <br />AMOUNT <br />CLAIMED <br />Total Equipment Charges <br />S - <br />MISCELLANEOUS/OTHER EXPENSES <br />INV��RF^ <br />INVOlt l-. <br />Doll. <br />UI:SCRIP PION OF GOODS/SERVICES <br />PURCHASED <br />VENDOR NAME <br />INVOICED <br />AMOUNT <br />AMOUNT <br />'TRANSACTION <br />NUMBER <br />TRANSACTION <br />DATE <br />CHECK/ <br />VOUCHER <br />NUMBER <br />CHECK <br />AMOUNT <br />PAYMENT TYPE <br />USED <br />PROOF OF PAYMENT <br />PROVIDED <br />AMOUNT <br />CLAIMED <br />Total Other Cha Ker <br />S <br />Exhibit C Payment Request Summary Form -C2219 <br />