Florida Department of Education



SAMPLE

(Must be on District Letterhead)

Invoice

From: ABC School District To: Florida Department of Education (FLDOE)

123 East Main St. ATTN: Ed Radigan

Anytown, FL 32309 315 West Gaines St.

Tallahassee, FL 32399

Date:

Remittance Information:

Project #: ___________________ Invoice Number: ____________________

Total Amount Requested: __________________________

ABC School District requests payment in full for funds awarded in State Appropriation Line 103 for Juvenile Justice Education. The funds were used to support expenditures related to equipment, specially designed curricula, and industry credentialing testing fees, for students enrolled in career and technical education (CTE) courses that lead to occupational completion points and/or industry recognized certifications.

Signature: ___________________________________

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FLDOE Use Only:

Total Approved: _______________________

Date: ________________

Program Manager Signature: _________________________________________

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