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 Invoice Number Title (completed by LETB) First Name IN Invoice Date / / FULL Middle name XXHFOSTER PO Number IN FULL FAO Surname Address Line 1 Address Line 2 Address Line 3 Town/City Post Code Topcliffe Lane Invoice To: Tingley Health Education England T73 – Wakefield East of England LETB WF3 1WE T73 Payables F485 Phoenix House BANK NOTE: PLEASE ENSURE DETAILS ARE ENTERED. FAILURE TO THESE DETAILS WILL RESULT IN PAYMENT DELAYS. Total Value of the Claim £ Please fill in the breakdown of the claim on the following page Details of the claim Travel Expenses Location: Finish Location: Mode of transport: £ Public Transport (Receipts must be attached) Total Number of Miles:_____________@ 24p per mile £ Private Transport (Mileage will be calculated at quickest route)
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 Title Invoice Number (completed by LETB) First Name IN FULL Invoice Date / / Middle name IN FULL PO Number XXHFOSTER Surname FAO Address Line 1 Address Line 2 Address Line 3 Town/City Post Code Invoice To: Health Education England – T73 East of England LETB T73 Payables F485 Phoenix House Topcliffe Lane Tingley Wakefield WF3 1WE NOTE: PLEASE ENSURE BANK DETAILS ARE ENTERED. FAILURE TO THESE DETAILS WILL RESULT IN PAYMENT DELAYS. Total Value of the Claim £ Please fill in the breakdown of the claim on the following page Details of the claim Travel Expenses Location: Finish Location: Public Transport Mode of transport: (Receipts must be attached) £ Private Transport Total Number of Miles:_____________@ 24p per mile (Mileage will be calculated at quickest route) £
candidate_expenses_form_2017_0.docx