Prostate Cancer Treatment Program  RFA 10-10413 
  Exhibit I 
 
INVOICE COVER LETTER TEMPLATE 
 
(Date) 
 
California Department of Public Health 
Cancer Detection Section 
Contract Manager:  
MS 7203 
P.O. Box 997377 
Sacramento, CA  95899-7377  
 
 
Contract Number:  10-10413 
Term of contract:  June 1, 2011 through June 30, 2011 
Invoice Number:  XXXXX 
Period of Invoice:  June 1, 2011 through June 30, 2014 
 
 
Enclosed for your review: 
 
    Invoice # ____ in the amount of $_________ 
 
This invoice is for services rendered pursuant to the terms and conditions established in 
the above referenced contract. 
 
Please make all payments to:  (input address) 
 
 
Sincerely, 
 
 
 
 
 
(Name of Authorized Representative) 
(Title of Authorized Representative) 
 
Enclosure