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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: ___________________________________________
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