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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