HomeMy WebLinkAbout11-20-2025 - AR Invoice Request FormINVOICE DELIVERY (SELECT ONE)
CUSTOMER INFORMATION
BILLING INFORMATION
ACCOUNT NUMBER (GL FORMAT XXX.XXXXXX.XXX.XXX.XX.XX.XXX)
AR INVOICE REQUEST FORM
Finance Routing:
financeAR@rentonwa.gov
Instructions: Use this form to bill/invoice businesses, individuals, and organizations for money owed to
the city. Include all backup documentation to support the invoiced amount with this form in the
same PDF.
*Invoice requests are processed weekly. Cutoff is 12p.m. on Tuesdays for processing on Wednesdays.
If you have an expedited request, please include a note in the routing email.
Requestor’s Name Ext. or Email Requestor’s Department/Division
AR Customer # Customer Name Date on Invoice
Customer Phone # Customer Email
Customer Address City State ZIP
City Department Billing Contact Name & Email:
Invoice Title (Eden Description- 21 character limit):
Invoice Description (to be printed on invoice):
Account Number Amount
Account Number Amount
Account Number Amount
Account Number Amount
Invoice Total
Internal only Return to requestor Mail invoice Email invoice to:
Include backup with invoice? Yes No
Special instructions for invoice delivery: