Sample_Billing_Form_-_Informational_Only.pdf
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- Attached to
- Rec Center Gym Lights
- Solicitation number
- 25-037
- Issued by
- Jefferson County, Weston CDP, Colorado
About this file
This document is a sample billing form for the City of Wheat Ridge, located in Colorado. The form is designed for vendors to submit invoices for services rendered, with spaces to detail basic and additional services, including task descriptions, fee amounts, percentage of completion, fees earned, and prior billing information. The billing form provides a structured template for contractors to request payment from the city's Accounts Payable department, located at 7500 W. 29th Avenue, Wheat Ridge, CO 80033.
The billing form includes sections for the vendor to specify the project name and number, contact information, period of service, and a breakdown of services. It requires the vendor's signature, printed name, and title, as well as city department approval with a signature, title, and date. The form allows for calculating total fees earned, subtracting previously billed amounts, and determining the current amount due. While this is a sample form, it provides a standardized method for the City of Wheat Ridge to process and track vendor invoices for municipal projects and services.
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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 .