
INVOICE
Date: __________________ Invoice #: ____________
TO:
______________________________________________________________
Phone:
_______________________ Fax:
__________________________
Attn:
_________________________
Email: ___________________________
For
the following service(s)/item(s) provided by Center of Southwest Studies:
Service/
Item
Amount
Total amount now due to Center of Southwest Studies:
$______________
Services
provided by:
___________________________________________
Date(s)
provided: _______________________________________________
Date service was requested or contracted:
__________________________
Please send payment to: Attn: Administrative Assistant
Center of Southwest Studies, Fort Lewis College
1000 Rim Dr., Durango, CO 81301-3999
Payment is due within 30 days to avoid a 5% per month late fee.
Page last modified: July 03, 2007