Exhibit K - Invoice - Sample.pdf

54 KB Posted

Attached to
Traffic Engineering Data Count Services
Solicitation number
ITQ 3514T02
Issued by
Crawford County, Pennsylvania

About this file

Written by GovTribe AI ·

This document is an invoice template related to a Pennsylvania Department of Transportation (PennDOT) contract opportunity titled "ITQ #3514T02, 'Traffic Engineering Data Count'". The invoice details the contractor's contact information, invoice number, invoice date, service month, purchase order number, contract number, and SAP vendor number. The invoice also includes a line item for the services rendered, with a quantity, unit price, and total price. The invoice must be signed by the contractor's authorized signatory. The document provides instructions for the contractor to ensure the invoice is completed correctly, including matching the summary of services on the invoice to the OS-501 "Confirmation of Services" form.

The invoice template indicates that the contract is for traffic engineering data count services provided to PennDOT. The contractor must ensure that the mailing address on the invoice matches the address registered with the Central Vendor Management system to avoid payment delays.

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EXHIBIT K

INVOICE – SAMPLE

EXHIBIT K

ITQ #3514T02, “Traffic Engineering Data Count”

INVOICE

REMIT TO:

Contractor Name Street Address City, State, Zip

Contact Person:

Phone: (123) 456-7890 Fax: (234) 567-8901 Email:

Invoice #: 000001 Invoice Date: August 10, 2015 Service Month: July, 2015

Purchase Order #: 430000000 Contract #: 44000000000 SAP Vendor #:

BILL TO ADDRESS:

Commonwealth of Pennsylvania – PO Invoice PO Box 69180 Harrisburg, PA 17108

PENNDOT PURCHASING OFFICE ADDRESS:

Office Name Street Address City, PA, Zip

COMMENTS:

P.O. Line Item #

Description Quantity Unit Price Total Price

TOTAL DUE

Signature: ______________________________________________ Date: __________________

(MUST BE SIGNED BY CONTRACTOR’S AUTHORIZED SIGNATORY)

CONTRACTOR:

Make sure your company’s mailing address is the same as the one on you registered with Central Vendor

Management when you obtained your SAP Vendor Number. Discrepancies can delay payment.

Complete this invoice completely, making sure that the Summary of this month’s services quantities on the Invoice and the OS-501 “Confirmation of Services” are entered and are an exact match.

Invoice includes:

XXXX

YYYY

INVOICE
Service Month: July, 2015
BILL TO ADDRESS:
Commonwealth of Pennsylvania – PO Invoice
PENNDOT PURCHASING OFFICE ADDRESS:
COMMENTS:

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