9. Appendix G - Driver Invoice.pdf
PDF 80 KB Posted
- Attached to
- 12-7811- OVR - Supplemental Driver IFB
- Solicitation number
- 6100056346
- Issued by
- Adams County, Pennsylvania
About this file
This document is a driver invoice form used by the Office of Vocational Rehabilitation (OVR) for transportation services. The form includes fields for the service provider's address, purchase order number, the OVR employee name and district office, the service dates, a description of the transport services provided including total hours, travel expenses for mileage, tolls, parking, meals, and lodging, and the total amount due. The invoice must be signed by the driver and verified by the OVR employee.
The pricing terms outlined in the form include a per-hour rate for transport services and a $1.00 rate for each travel expense item. The form also notes that time must be calculated in 15-minute increments. Additionally, any required supplemental documentation such as a log sheet and receipts must be attached to the invoice.
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Text version
OVR-141
11/18
DRIVER INVOICE # ___
Service Provider Address: P.O. Number ______________________ (Please use address in SAP)
Name
Street Address
Services Provided to _____________________ OVR Employee Name
City, State, Zip OVR District Office _______________________________
Phone
SAP Vendor # _
Service Dates from ____ to ______
(1st date) (last date)
Description Units
Unit Price Total Price
Transport Service/Hours
(total hours) (your P.O. hourly rate)
Travel Expenses: mileage, tolls, parking, meals, and lodging
$1.00 each
Note: Time (total hours) must be calculated in increments of 15 minutes, i.e. 1 hour 15 minutes would be 1.25
Total Due
Driver's Signature Date
Verified by OVR Employee Date
If applicable, additional documentation such as log sheet and receipts will be attached to this invoice as required.
File details come from the government source that posted it. Updated .