INVOICE ALL FORMS MUST BE TYPED AND NOT HAND WRITTEN. THEY MUST ALSO BE COMPLETED IN FULL. FAILURE TO DO THIS WILL RESULT IN PAYMENT DELAYS OR NON PAYMENT For HEKSS Use Only ASK533 - FY2 - Invoice Number Invoice Date / / PO Number XXSHREBEIRO FAO Practice Name Address Line 1 Address Line 2 Address Line 3 Town/City Post Code Health Education England T73 – KSS LETB T73 Payables F485 Phoenix House Topcliffe Lane Tingley Wakefield WF3 1WE BANK REMITTANCE NOTE: PLEASE ENSURE DETAILS ARE ENTERED. FAILURE TO ENTER THESE DETAILS WILL RESULT IN THE BEING MADE BY CHEQUE, WITH INEVITABLE PAYMENT DELAYS. Total Value of the Claim £ 2,066.93 Please fill in the breakdown of the claim on the following page Details of the claim Travel Expenses
INVOICE ALL FORMS MUST BE TYPED AND NOT HAND WRITTEN. THEY MUST ALSO BE COMPLETED IN FULL. FAILURE TO DO THIS WILL RESULT IN PAYMENT DELAYS OR NON PAYMENT For HEKSS Use Only Invoice Number ASK533 - FY2 - Invoice Date / / PO Number XXSHREBEIRO Practice Name FAO Address Line 1 Address Line 2 Address Line 3 Town/City Post Code Health Education England – T73 KSS LETB T73 Payables F485 Phoenix House Topcliffe Lane Tingley Wakefield WF3 1WE NOTE: PLEASE ENSURE BANK DETAILS ARE ENTERED. FAILURE TO ENTER THESE DETAILS WILL RESULT IN THE REMITTANCE BEING MADE BY CHEQUE, WITH INEVITABLE PAYMENT DELAYS. Total Value of the Claim £ 2,066.93 Please fill in the breakdown of the claim on the following page Details of the claim Travel Expenses
FY2%20CS%20Trainers%20Grant%20-%20ASK533%20-%20Aug-Nov%202015.docx