WP E-Signature by Approve Me - Sign Documents Using WordPress -

Warning: Constant QR_MODE_AN already defined in /home/ncwvnppu/public_html/wp-content/plugins/e-signature/lib/qrcode/barcodes/qrcode.php on line 108

Warning: Constant QR_ECLEVEL_L already defined in /home/ncwvnppu/public_html/wp-content/plugins/e-signature/lib/qrcode/barcodes/qrcode.php on line 134

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Warning: Constant QRCAP_WIDTH already defined in /home/ncwvnppu/public_html/wp-content/plugins/e-signature/lib/qrcode/barcodes/qrcode.php on line 173

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Warning: Constant N1 already defined in /home/ncwvnppu/public_html/wp-content/plugins/e-signature/lib/qrcode/barcodes/qrcode.php on line 211

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Warning: Constant QR_DEFAULT_MASK already defined in /home/ncwvnppu/public_html/wp-content/plugins/e-signature/lib/qrcode/barcodes/qrcode.php on line 245

ICP PAYMENT VOUCHER

Payment Assistance Voucher

Document #:		Date:
Contractor #:		Due Date
		Description:

Client Information

Account #	Client Name	Reason

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

May 30, 2017 7:48 pm EDT

ICP PAYMENT VOUCHER Uploaded by Rob Everly - itadmin@ncwvcaa.org IP 67.52.21.30