Ex. 4.3.xlsx

This is a Form of Invoice document for Solicitation No. 5400026039 related to SCEIS Modernization services between the State of South Carolina, acting through the South Carolina Department of Administration, and a selected service provider. The invoice template is designed to facilitate monthly billing for services related to system migration, transition activities, and steady-state operations. The document provides a standardized format for invoicing that accommodates multiple billing categories including migration project charges with specific deliverables and completion dates, transition services charges, and steady-state run charges based on resource units with defined volumes and unit rates. The invoice template includes sections for pass-through charges, rate card charges, and volume discounts, with all amounts initially set at zero pending actual service delivery and implementation of the final billing structure.

The invoice format specifies payment terms of net 30 days from receipt and instructs vendors to remit payment via wire transfer to the designated account of the service provider. The document includes fields for tracking aged accounts receivable across multiple aging categories from 0-30 days through over 180 days, along with detailed line-item tracking showing invoice numbers, service months, invoice dates, amounts, payment status, and cumulative account balances. The template accommodates customer reference numbers and purchase order information for tracking purposes and directs all correspondence and payments to the State of South Carolina Department of Administration Accounts Payable office at 1200 Senate Street, Suite 409, Columbia, SC 29201-3200. This standardized invoice form ensures consistent billing documentation and financial tracking throughout the contract performance period.