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 PDF
Notice of Award Posting.pdf PDF
Solicitation.pdf PDF
Extension of Award.pdf PDF
Amendment 1.pdf 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 TOVENDOR NUMBERTERMS
South Carolina Department of Social ServicesEnter Vendor # if knownNET 30
Attention: Michael Anderson
PO Box 1520
Columbia, SC 29202-1520
Michael.Anderson@dss.sc.gov
DESCRIPTIONFamilies ServedWeeksUnitsCost Per UnitTOTAL COST
Case Rate0$ 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 .