EXHIBIT H
ACTIVITY OR WELFARE FUND
PAYMENT VOUCHER
Voucher No. __________
Vendor Name: ___________________________________________________
Address: ___________________________________________________
Invoice No.: __________ Date: __________ Amount: $__________

For Goods Received or Services Rendered (Explain Expenditure)
Payment Requested and Certified Correct

NAME TITLE DATE
 

 

Payment Approved:
NAME TITLE DATE
Paid by Check No. ____________ Date _____________
 

 


NAME TITLE DATE
INVOICE, RECEIPT OR STATEMENT MUST BE ATTACHED.

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