INVOICE This form must be TYPED and COMPLETED in FULL, failure to do this will result in a delay or NON PAYMENT (LETB use only) Invoice Number Title First Name Invoice Date / / (In Full) Middle Initial XXMSHRUBSALL PO Number (In Full) Code ASZ _ _ _ /_ _ _ _ /T_ _ _ _ /_ _ _ _ _ Surname Address Line 1 Address Line 2 Address Line 3 Town/City Post Code Return To: Invoice To: Health Education England XXMSHRUBSALL Park House Health Education England 1200 Parkway South West LETB Bristol T73 Payables F485 BS34 8YU Phoenix House Topcliffe Lane Wakefield WF3 1WE BANK PLEASE ENSURE DETAILS ARE ENTERED. FAILURE TO ENTER THESE DETAILS WILL RESULT IN PAYMENT DELAYS. Total Value of the Claim £ Please complete the breakdown of the claim on the following page
INVOICE This form must be TYPED and COMPLETED in FULL, failure to do this will result in a delay or NON PAYMENT (LETB use only) Title Invoice Number First Name (In Full) Invoice Date / / Middle Initial (In Full) PO Number XXMSHRUBSALL Surname Code ASZ _ _ _ /_ _ _ _ /T_ _ _ _ /_ _ _ _ _ Address Line 1 Address Line 2 Address Line 3 Town/City Post Code Invoice To: XXMSHRUBSALL Health Education England South West LETB T73 Payables F485 Phoenix House Topcliffe Lane Wakefield WF3 1WE Return To: Health Education England Park House 1200 Parkway Bristol BS34 8YU PLEASE ENSURE BANK DETAILS ARE ENTERED. FAILURE TO ENTER THESE DETAILS WILL RESULT IN PAYMENT DELAYS. Total Value of the Claim £ Please complete the breakdown of the claim on the following page
SW-HEE-Expenses-Invoice-Candidate-or-Trainee.docx