Music Vendor Invoice

(for services provided to the South Country School District Music Department)

VENDOR: _____________________________________________________

ADDRESS: Street_______________________________________________

City _______________________________________________

State_______ Zip Code _____________

PHONE: ______________________ EMAIL: ________________________

SERVICE(S) RENDERED:

Description _______________________________________________________________

Date: ___________ Unit Price: __________ Amount: __________

Description _______________________________________________________________

Date: ___________ Unit Price: __________ Amount: __________

Description _______________________________________________________________

Date: ___________ Unit Price: __________ Amount: __________

Description _______________________________________________________________

Date: ___________ Unit Price: __________ Amount: __________

GRAND TOTAL: ___________

VENDOR SIGNATURE: __________________________________________________

Please return form to:

Victoria Hartman, Music Chairperson
c/o Bellport High School
205 Beaver Dam Rd
Brookhaven, NY 11719