Whether you believe it or not..........

Drug Testing Matters!

Karen Matters, Owner

Lebanon, IN  46052

 

Office Phone:  (765) 485-0996

For information send email to: karen@drugtestingmatters.com

 

Drug Testing Matters Home Page

   

Contractor Invoice Form

 

Supply Order Form

  

 

  

Crew Chief Name:   

Institution/Host: 

 

Site #: 

 

Test Date: 

Select either "per sample" or "per site" charges.

             

Per Sample

 

Number of Samples         

Cost per sample                  $

Per Sample Total Cost    $

 

Other Expenses:

  Description:

  Cost: $  

  Cost: $  

  Cost: $  

  Cost: $  

 

 

 

Per Sample Total Amount   $

Charges

 

Per Site

 

 

Site Fee: $

 

 

 

Other Expenses:

  Description:

  Cost: $ 

  Cost: $  

  Cost: $  

  Cost: $  

 

 

 Per Site Total Amount      $

Mileage

 

Miles Driven Car #1:  X Mileage Rate:  =  $

Miles Driven Car #2:  X Mileage Rate:  =  $

Miles Driven Car #3:  X Mileage Rate:  =  $

 

Total Mileage: $

 

Total of all Charges for Site/Host Grand Total: $

   (Includes either Per Sample or Per Site Charges + Other Expenses + Mileage Charges)

 

Name

Crew Chief:   

Crew #1:     

Crew #2:     

Crew #3:      

Crew #4:     

Crew #5:      

Crew #6:      

Crew #7:      

Payments

 

Amount Owed

$

 

$

 

$

 

$

 

$

 

$

 

$

 

$

 

Payment Grand Total: $

(Payment Grand Total should equal Total of all Charges)      

Send questions to: karen@drugtestingmatters.com