12-Exhibit A- Invoice Example FSMC (5).pdf
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- Attached to
- Advantage Arts Academy- Food Service Management
- Solicitation number
- RA26-144
- Issued by
- Salt Lake County, Hildale City, Utah
About this file
This is an invoice example document for a Food Service Management Contract (FSMC) submitted by Advantage Arts Academy, a Utah-based educational institution. The invoice template demonstrates the billing structure for food service reimbursable meals and non-program food sales over a one-month service period from January 1-31, 2025, encompassing 20 service days. The invoice includes quantities for 10,000 reimbursable lunch meals, 8,000 reimbursable breakfast meals, and 2,000 snacks, along with non-program food sales calculations. The RFP for this food service management contract requires proposal submissions to Kelly Simonsen at Advantage Arts Academy no later than June 29, 2026 at 3:00 PM MDT, with questions cutoff by June 5, 2026 at 5:00 PM MDT. All inquiries must be submitted in writing to ksimonsen@advantagearts.org, with responses posted on the Utah Public Procurement Place (U3P) portal.
The invoice template reflects total meal and service costs of $63,985.34 before credits, with unit prices of $3.52 for lunch, $2.36 for breakfast, and $1.20 for snacks. The contract includes credits for USDA Foods from Department of Defense ($1,000), direct delivery ($1,500), and processing ($3,000), totaling $5,500 in credits and resulting in a final invoice amount of $58,485.34. The pricing structure demonstrates a reimbursement model tied to actual meal service quantities provided to the LEA (Local Educational Agency), with integrated USDA food credits applied to reduce the net amount due.
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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 .