ABC County Auditor

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Upload: AP Claims

I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services with IC 5-11-10-2
Department
Submitted Date (mm-dd-yyyy)
Vendor
Vendor #
Fund Details
Fund # (first four digits):
Account (five digits):
Location Details
Location (four digits):
Amount
Object (autopopulates 00000 when exported to
Account Description
Invoice Details
Invoice
Invoice Date: (mm-dd-yyyy)
Total Claim Amount:
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