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Nederland Independent School District
Business: Services Rendered Form
7/17/2026

NISD Services Rendered
Employees, Non-Employees and Student Workers

I hereby submit and certify this statement for services rendered as follows:

FULL NAME: *

Employee or Vendor Number: *

TYPE OF SERVICE: *

Facility Location:

EVENT: *

DATE WORKED:

TIME START:

TIME END:

DATE WORKED:

TIME START:

TIME END:

PAYMENT BASED ON ATHLETIC PAY SCALE:

Number of Games:

Event Pay:

HOURS WORKED TIMES RATE

Total Hours Worked:

Hourly Rate:

Total Earned:

MILEAGE REIMBURSEMENT

Mileage:

Mileage Rate:

Total:

FLAT RATE Per AGREEMENT

Amount:

***********************************************

TOTAL AMOUNT DUE

Total:

ATTACHMENTS FOR SUPPORTING DOCUMENTATION

ATTACHMENT:

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Please attach supporting documentation.

Account Number:

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NISD Services RenderedEmployees, Non-Employees and Student Workers

I hereby submit and certify this statement for services rendered as follows:

NISD Services Rendered
Employees, Non-Employees and Student Workers