Sample_Billing_Form_-_Informational_Only.pdf

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Attached to
Police Pension Board Investment Consultant
Solicitation number
RFP-25-040
Issued by
Jefferson County, Weston CDP, Colorado

About this file

This document is a Sample Billing Form from the City of Wheat Ridge, Colorado, designed as an informational template for vendors to submit invoices for services rendered. The form provides a structured layout for documenting basic and additional services, including columns for tasks, fee amounts, percentage of completion, fees earned, and prior billing. The form is intended to be submitted to the Accounts Payable department at 7500 W. 29th Avenue, Wheat Ridge, CO 80033, with spaces for vendor and city department signatures, dates, and other essential billing information.

The billing form is a generic template without specific financial details, serving as a standardized process for contractors to request payment for work completed on city projects. It allows for itemization of services, calculation of earned fees, and tracking of previous billings, with separate sections for basic and additional services. While the form is marked "SAMPLE BILLING FORM - For Example Only", it provides insight into the City of Wheat Ridge's administrative process for managing vendor invoices and contract payments.

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Text version

SAMPLE BILLING FORM - For Example Only

Date:

City Project Name and Number:

City Contact Name or Department:

Period of Service: through Summary below (see attached reports for further details)

BASIC SERVICE

Task: Fee Amount: % Complete: Fee Earned: Prior Billing:

TOTAL:

Fee earned: $

Less amount previously billed: $

Amount due: $

ADDITIONAL SERVICES:

Amount due: $

TOTAL AMOUNT DUE: $

Vendor’s signature: Date:

Printed name: Title:

City Department approval (signature of approver):

Title: Date:

SUBMIT TO:

ACCOUNTS PAYABLE

CITY OF WHEAT RIDGE

7500 W. 29th Avenue Wheat Ridge, CO 80033

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