Employer
Project Name
Contract Agreement no
NAME OF CONTRACTOR
INVOICE NO- ##
FOR THE MONTH OF Month/Year
Description Total To Date Previous Total Total this invoice
Value of Works as per B.O.Q -
Deduct Retension 5% -
Amount Payable -
Amount to be deposited to the following account of:
Contractor Check No. Dated:
Certified for payment of : 0.00
Amount In Word
Contractor Employer