Academie Agencie

220 Broadway, Suite B

Fargo ND 58102

To

Address

City

Date

Date of Service

For

MODELS VOUCHER

   

Report Time

Dismissal Time

Total Time

Day Rate

Hourly Rate

     

q

q

     

q

q

     

q

q

     

q

q

The above work has been done and the billing information is correct.

 

Client

Model

WHITE – Client Copy

YELLOW – Agency Copy

PINK – Model Copy

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Academie Agencie

220 Broadway, Suite B

Fargo ND 58102

To

Address

City

Date

Date of Service

For

MODELS VOUCHER

   

Report Time

Dismissal Time

Total Time

Day Rate

Hourly Rate

     

q

q

     

q

q

     

q

q

     

q

q

The above work has been done and the billing information is correct.

 

Client

Model

WHITE – Client Copy

YELLOW – Agency Copy

PINK – Model Copy

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Academie Agencie

220 Broadway, Suite B

Fargo ND 58102

To

Address

City

Date

Date of Service

For

MODELS VOUCHER

   

Report Time

Dismissal Time

Total Time

Day Rate

Hourly Rate

     

q

q

     

q

q

     

q

q

     

q

q

The above work has been done and the billing information is correct.

 

Client

Model

WHITE – Client Copy

YELLOW – Agency Copy

PINK – Model Copy