Fillable Note-taker-invoice-form CSUCI > DRP Stippened Note-taker Invoice

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Note-taker-invoice-form CSUCI > DRP Stippened Note-taker Invoice

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File type: PDF

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STIPEND NOTE TAKER INVOICE
Date:
To: Cal State University Channel Islands
Accounts Payable
One University Drive
Camarillo, CA 93012
From (payee):
Name:
First
Mailing Address:
City:
Phone:
MI
State:
Last
Zip:
Re:
E-Mail:
Classroom notes provided to student(s) with disabilities.
@myci.csuci.edu
Notes Provided For:
Semester:
Course 1 Today’s Date:
Days of the week class meets:
Course 2 Today’s Date:
Days of the week class meets:
Course 3 Today’s Date:
Days of the week class meets:
Course 4 Today’s Date:
Days of the week class meets:
Mon
Mon
Mon
Mon
Class:
Tus
Class:
Tus
Class:
Tus
Class:
Tus
Wed
Wed
Wed
Wed
Thur
Thur
Thur
Thur
Section:
Fri
Section:
Fri
Section:
Fri
Section:
Fri
Sat
Sat
Sat
Sat
Total Number of Courses:
Total Number of Activities/ Labs:
Total Due:
@ $100 per course
@ $50 per course
Payee Signature:
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Note-taker-invoice-form CSUCI DRP Stippened Note-taker Invoice

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Completed 11 February 2020

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