Invoice.xlsx
XLSX spreadsheet 23 KB Posted
- Attached to
- FAMILY RESOURCE AND PRESERVATION SERVIC
- Solicitation number
- 5400026173
- Issued by
- Richland County, South Carolina
About this file
This is an invoice template for the South Carolina Department of Social Services related to Family Resource and Preservation Services contracts. The invoice is formatted to bill the Department of Social Services at their Columbia, South Carolina address, with payment directed to Michael Anderson. The template establishes a standardized billing structure for contracted service providers, requiring submission of vendor information, invoice number, date, and contact details for processing.
The invoice template provides line items for billing based on case rates at $359.49 per unit, mileage reimbursement at $0.67 per mile, and concrete services and supports. Notably, any concrete services and supports exceeding $500 require prior written approval from the Department before payment authorization. Invoices are submitted under NET 30 payment terms, and vendors must include their vendor number if known. The template accommodates tracking of families served, weeks of service, and units of service for accurate billing and cost allocation under the contract structure.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 2.pdf | ||
| Notice of Award Posting.pdf | ||
| Solicitation.pdf | ||
| Extension of Award.pdf | ||
| Amendment 1.pdf | ||
| PCI Report.docx | DOCX document |
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Text version
Invoice
| [Company/Provider Name] | INVOICE | |||
| [Street Address] | ||||
| [City, ST ZIP] | ||||
| Contact Name: | [enter contact name] | INVOICE # | DATE | |
| Contact Email: | [enter contact email] | Enter Invoice # | Enter Date |
| BILL TO | VENDOR NUMBER | TERMS |
| South Carolina Department of Social Services | Enter Vendor # if known | NET 30 |
| Attention: Michael Anderson | ||
| PO Box 1520 | ||
| Columbia, SC 29202-1520 | ||
| Michael.Anderson@dss.sc.gov |
| DESCRIPTION | Families Served | Weeks | Units | Cost Per Unit | TOTAL COST |
| Case Rate | 0 | $ 359.49 | $ - 0 | ||
| $ - 0 | |||||
| Mileage | $ 0.67 | $ - 0 | |||
| Concrete Services and Supports (detail each below)* | $ - 0 | ||||
| $ - 0 | |||||
| $ - 0 | |||||
| $ - 0 | |||||
| $ - 0 | |||||
| $ - 0 | |||||
| $ - 0 | |||||
| $ - 0 | |||||
| $ - 0 | |||||
| $ - 0 | |||||
| $ - 0 | |||||
| $ - 0 | |||||
| $ - 0 | |||||
| *All concrete services and supports over $500 must receive prior approval from the Department in order to be paid. | |||||
| Thank you! | TOTAL | $ - 0 |
| If you have any questions about this invoice, please contact |
| Michael.Anderson@dss.sc.gov |
mailto:Michael.Anderson@dss.sc.govmailto:Michael.Anderson@dss.sc.gov
File details come from the government source that posted it. Updated .