600-00005 – Invoice (05/2017) Page 1 of 1

Vermont Superior Court

www.vermontjudiciary.org

INVOICE Invoice Date: _____________________ (Requestor’s Name & Address)

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Number of Copies

DESCRIPTION $.25 per page /$1.00 minimum

AMOUNT

SUBTOTAL

Less Payment $0.00

Total Due

Clerk Signature: ___________________________________________