CONSULTANT (Associate) Invoice for Services - SHORT TERM (STTA) CCN ONLY Short Form

MSI cannot process payment until the following have been received:
Signed Agreement of Understanding (or Amendment, if applicable) AND Originals of your Expense Report/Receipts (this is the one document which must be in originals, along with receipts)
Emails or fax submissions should be to the attention of the Supervisor with whom you have worked on this assignment.
Areas highlighted in BLUE must be completed in order for invoice to be processed. Areas in grey are for MSI only or self-calculating.

Name Jennifer Yulibeth Bautista Guanare Today's Date: 7-Aug-22 Mobile/Cell Phone # 3103258478 email jeniferguanare_15@hotmail.com
Last,
First
Payee Address Info:
MSI Project Number 608600.02.03
You can find this information on your
MSI Project Name COLOMBIA TRANSFORMA Agreement of Understanding (AOU) Please note that payments cannot be made until all advances
Daily Rate $ 73,256.00 are reconciled. If you have an advance for travel, please
submit your expense report along with your fee invoice.
Full Name of Currency pesos Colombianos

sample
Month MAR Junio junio Mayo Mayo Mayo Mayo Mayo Mayo Mayo Mayo Mayo
Date 2 4 8 9 10 11 12 13 14 15 16 17
Subtotals
Day of the week WED LUNES MARTES MIERCOLES JUEVES VIERNES SÁBADO DOMINGO LUNES MARTES MIERCOLES JUEVES (hours/amount)
City London TAME TAME TAME TAME TAME TAME TAME TAME TAME TAME TAME
State (if in US)/Country UK COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA
Hours 8.00 8 8 8 8 8 8 8 8 72
SUBTOTAL 500.00 73,256 73,256 73,256 73,256 73,256 0 0 73,256 73,256 73,256 73,256 659,304
For additional days, please use this second chart to continue:
Month Mayo Mayo Mayo Mayo Mayo Mayo Mayo Mayo Mayo Mayo Mayo Mayo
Date 18 19 20 21 22 23 24 25 26 27 28 29
Subtotals
Day of the week VIERNES SÁBADO DOMINGO LUNES MARTES MIERCOLES JUEVES VIERNES SÁBADO DOMINGO LUNES MARTES (hours/amount)
City TAME TAME TAME TAME TAME TAME TAME TAME TAME TAME TAME TAME
State (if in US)/Country COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA COLOMBIA
Hours 8.00 8.00 8.00 8.00 8 8 8 8 64
SUBTOTAL 73,256 0 0 73,256 73,256 73,256 73,256 73,256 0 0 73,256 73,256 586,048

Month Mayo Mayo

Date 30 31
Subtotals
Day of the week MIERCOLES JUVES (hours/amount)
City TAME TAME
State (if in US)/Country COLOMBIA COLOMBIA
Hours 8.00 8.00 16
SUBTOTAL 73,256.00 73,256.00 0 0 0 - - - - - - 146,512

MSI Approver Certification HOURS DAYS AMOUNT

The MSI Approver certifies that s/he has verified the information contained on this invoice for services and that Comments (please use this area if you have any notes about this Regular 152.00 19.0000 TOTAL 1,391,864
the hours, rate and amounts listed are in compliance with the AOU and the MSI Contract under which the fee invoice)
individual has provided services. TOTAL INVOICE AMOUNT 1,391,864

X
Consultant/Associate Certification
Signature Date The undersigned hereby certifies that the amount invoiced represents only those amounts properly payable in accordance with
the terms and conditions of the Agreement of Understanding and the individual's official records.
Name (please type):
LAP Approver:
Received
Verified on (date)

Submitted to Accounting
Signature Date