10-10 Exhibit A- Invoice Example FSMC Bridge Elementary.docx
DOCX document 17 KB Posted
- Attached to
- Bridge Elementary- Food Service Management
- Solicitation number
- RA26-156
- Issued by
- Weber County, Utah
About this file
This is an invoice example template document for Bridge Elementary's Food Service Management contract in Utah. The document illustrates the invoicing format and structure that the Food Service Management Company (FSMC) contractor will use when billing the Local Education Agency (LEA) for meal services provided. The invoice example covers a service period from January 1, 2025 to January 31, 2025, comprising 20 service days. The anticipated billing includes 10,000 reimbursable lunch meals at $3.52 per unit, 8,000 reimbursable breakfast meals at $2.36 per unit, 2,000 reimbursable snacks at $1.20 per unit, and 2,132.20 units of non-program food sales at $3.52 per unit. The solicitation for this contract opportunity is open for questions until June 29, 2026 at 5:00 PM, with proposals due to Janey Stoddard at 4824 Midland Drive, Roy, Utah 84067 no later than July 22, 2026 at 5:00 PM.
The total invoice amount in the example is $63,985.34 before credits. The contractor will receive credits from USDA Foods including Department of Defense contributions ($1,000), direct delivery credits ($1,500), and processing credits ($3,000), totaling $5,500 in USDA Foods credits. The final amount due after all credits is $58,485.34. This invoice template establishes the billing structure for reimbursable meals, non-program food sales, and the application of federal food program credits that will be utilized throughout the contract period.
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Text version
EXHIBIT A
Invoice Invoice Number: #001 Bill To:
· LEA Name:
· LEA Address:
· City, State, Zip:
· LEA Email:
Invoice Details:
| · Invoice Date: [Date] | Due Date: [Due Date] |
| · Service Period: 1/1/2025 to 1/31/2025 | Number of Service Days: 20 |
Description of Services:
| Quantity |
| Description |
| Unit Price |
| Line Total |
| [Quantity] |
| [Service/Product Description] |
| [Unit Price] |
| [Total] |
| 10,000 |
| Reimbursable meals (Lunch) |
| 3.52 |
| $35,200 |
| 8,000 |
| Reimbursable meals (Breakfast) |
| 2.36 |
| $18,880 |
| 2,000 |
| Reimbursable snacks |
| 1.20 |
| $2,400 |
| 2,132.20 |
| Non-program Food Sales ($10,000/ MEF |
$4.69= 2,132.20 )
| 3.52 |
| $7,505.34 |
| Total Due |
| $63,985.34 |
Credit USDA Foods- DoD
($1,000)
Credit USDA Foods-Direct Delivery
($1,500)
Credit USDA Foods-Processing
($3,000)
Total USDA Foods Credit
($5,500)
USD Total
$58,485,34
Signature of Approval:
Name and Title:
Date:
File details come from the government source that posted it. Updated .