
Print Form Invoice Voucher FORM C-13 REV. 4/09 STATE OF ILLINOIS Name and Location of State Agency or Institution PAYMENT OF INTEREST MAY BE AVAILABLE IF THE STATE FAILS TO COMPLY WITH THE STATE PROMPT PAYMENT ACT 30 ILCS 540. 2. Taxpayer Identification Number 4. Voucher No* 5. Voucher Date 3. Vendor or Payee LAST NAME OR BUSINESS NAME 6. Appropriation Account Code FIRST NAME MIDDLE INITIAL 7. Invoice Number Disposition of Copies Comptroller Agency Remittance Copy 8. Invoice Date 7. Retained by Vendor 10. Indicate Beginning and Ending Date of Service and GAAP Code. Give Complete Description of Articles/Services Rendered or Attach Itemized Vendor Invoice 18. Exp* Obj 19. Exp* Amount 11. Quantity 12. Units 13. Unit Price 14. Amount 20. CFDA No* Subtotal 23. Payment Amount 22. Obligation No* Discount / Deduction 21. Total Exp* Total Amount 24. Total Payment Amount 25. For Agency Use Only Certification of Receiving Agency I certify that the goods or services specified on this voucher were ....
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How to fill out the State Of Illinois Form C 13 online
Filling out the State Of Illinois Form C 13 online can streamline the reimbursement process for various state agencies. This guide provides step-by-step instructions to help users accurately complete the form with ease.
Follow the steps to fill out the form accurately.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the name and location of the state agency or institution at the top of the form. This information is essential for identifying the correct department for processing the voucher.
- In field 2, provide the taxpayer identification number. This unique identifier is necessary for tax compliance and should be entered accurately.
- Record the voucher number in field 4 and the voucher date in field 5. These fields help track the transaction and ensure timeliness in processing.
- In the vendor or payee section (field 3), enter the last name or business name, followed by the first name and middle initial if applicable.
- Complete fields 6 and 7 by filling in the appropriation account code and invoice number, respectively. These numbers are vital for accounting purposes.
- Specify the invoice date in field 8. This should match the date on the invoice being submitted.
- Indicate the beginning and ending date of service in field 10, and provide a complete description of the articles or services rendered. If needed, attach an itemized vendor invoice to ensure clarity.
- In the subsequent fields (11 to 24), fill out details regarding quantity, units, unit price, amounts, discounts, and total payment amounts as pertinent to the invoice.
- Finally, review all entries for accuracy, and ensure the certification of the receiving agency is signed by the authorized personnel. Users can then save changes, download, print, or share the completed form as needed.
Complete your documents online now to ensure efficiency in your submissions.
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