TGW Vendor Invoice Template Step 1 of 2 50% Company Name* Individual Submitting Invoice First Last Email PhoneCompany Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Day of Work Performed MM slash DD slash YYYY Project Name Project Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Project 1Item 1 Describe Work DoneCharges Item 1 Project 2Item 2 Describe Work DoneCharges Item 2 Project 3Item 3 Describe Work DoneCharges Item 3 MaterialsMaterials Materials Charges TotalTotal Invoice AmountTotal Invoice Amount Includes All Sales Tax CONDITIONAL WAIVER AND PARTIAL RELEASE ON PAYMENT STATE OF KANSAS, COUNTY OF JOHNSON On receipt of payment by the undersigned from True Grit Woodworking, LLC for the total amount submitted by the company or person listed above, this document becomes effective to release any mechanic’s lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned’s position, the undersigned has on the Project and address submitted above as well as labor and materials listed above. This release covers the payment to the undersigned for all labor, services, equipment or materials furnished to the jobsite. Before any recipient of this document relies on it, the person should verify evidence of payment to the undersigned. The undersigned warrants that he either has already paid or will use the monies he receives from this final payment to promptly pay in full his laborers, subcontractors, material suppliers, equipment or services provided for or to the above referenced project up to the date of this waiver.Undersigned* Individual Submitting the InvoiceDate of Signature MM slash DD slash YYYY Signature* 29941
