Payment Status Inquiry
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1.
Vendor Name
*
Include the Legal and DBA name.
Legal Business Name:
Doing Business As:
2.
Payment Status Inquiries
Invoice Number
Invoice Date
School/Department reference
Invoice 1
Invoice 2
Invoice 3
Invoice 4
3.
Who shall we contact with payment status information?
Business
Contact Name
Phone
Email
Contact 1
Contact 2
4.
Any additional comments?