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PAYMENT AGREEMENT

Production Title:

Client Organization:

Client Representative:

KTOP Representative: Ashley James, Station Manager

Date:

Terms: Net 30

Method of Payment:

Journal Voucher _______________

Check _______________________

Funds to be Transferred From:

________________________   __________________________________

Department Name                   Division Name

Fund # ________    Org # _________   Account # ________

  Project # ________   Program # ________

Payment Dates                   Amounts

/ /2001

 

Authorizing Signature __________________________________________

Title ________________________________________________________

Date _______________________________________________________

 

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