University of Washington
INVOICE
Your Department Name
INVOICE NUMBER (MUST
include alphabetic
invoice prefix, 10
characters maximum)
DATE: 7/26/16
Box
Address
City, State ZIP
Phone 123.456.7890 Fax 123.456.7891
Contact Name for Your Department
Bill To:
Name
Company
Address
City, State ZIP
Phone
Reference #:
UW Budget #
Rev Code
Description
AMOUNT
SUBTOTAL
TAX
TOTAL DUE
PAYMENT OPTIONS:
Make all checks payable to UW INVOICE RECEIVABLES
Include the invoice number on your check and mail all payments to:
UNIVERSITY OF WASHINGTON
INVOICE RECEIVABLES
PO BOX 94224
SEATTLE, WA 98124
Contact the issuing department for instructions concerning sending payment via wire transfer or ACH.
A finance charge may be added to past due balances at a periodic rate of 1% per month, or 12% annually.
If you have any questions about this invoice, please contact the issuing department above.