1-RFB 4491 - Attachment A - Sample Invoice.pdf

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Attached to
Service Contract
Solicitation number
4491
Issued by
Daviess County, Kentucky

About this file

This is a Sample Invoice Attachment for Request for Bid (RFB) 4491 issued by the City of Owensboro, Kentucky, in conjunction with the Public Works Department. The document establishes the mandatory invoice format that all contractors must follow when submitting billing documentation for services rendered. The sample invoice details labor and materials charges for work performed between July 1, 2026, and July 15, 2026, at the location of 1410 W. 5th Street, with the requesting department employee identified as Kevin DeRossitt of Public Works.

The invoice format specifies that billing must include itemized labor hours at an established rate, materials costs, a materials markup not to exceed 10 percent, subtotal calculations, applicable tax, and a final total amount due. The sample demonstrates a calculation structure showing 3 hours of labor at $25.00 per hour, materials at $25.00, a 10 percent materials markup of $2.50, subtotal of $102.50, tax of $1.50, and a total invoice amount of $104.00. The City of Owensboro will not accept invoices that deviate from this prescribed format, making strict adherence to the template a requirement for all contractors bidding on RFB 4491.

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Text version

ATTACHMENT A

SAMPLE INVOICE

3 hrs. labor @ $25.00

75.00

Materials

25.00

Materials Mark-up (10%)

2.50

Subtotal

102.50

Tax

1.50

Total

104.00

Location: 1410 W. 5th Street

Requesting Department & Employee: Public Works / Kevin DeRossitt

Bid #: RFB 4491

Dates Worked: 7/1/26 – 7/15/26

Invoices will not be accepted unless they are in the above format.

File details come from the government source that posted it. Updated .