Sample_Billing_Form_-_Informational_Only.pdf

PDF 135 KB Posted

Attached to
Rec Center Gym Lights
Solicitation number
25-037
Issued by
Jefferson County, Weston CDP, Colorado

About this file

This is a sample billing form document provided by the City of Wheat Ridge, Colorado for informational purposes regarding invoice submission procedures for contractors. The form outlines the required structure for billing submissions, including sections for basic service tasks with associated fees and completion percentages, prior billing amounts, and additional services charges. The document specifies that all billing submissions must be directed to the City of Wheat Ridge Accounts Payable department located at 7500 W. 29th Avenue, Wheat Ridge, Colorado 80033. The form requires vendor signature, printed name, title, and approval signature from the appropriate city department, along with the corresponding dates and period of service covered by the invoice.

The sample billing form establishes the standard invoicing format and approval process that contractors must follow when submitting payment requests to the City of Wheat Ridge. The form includes designated fields for calculating the total amount due by subtracting previously billed amounts from the current fee earned. While this document serves as an informational template rather than a binding contract document, it establishes the administrative requirements and procedures that successful bidders on the Rec Center Gym Lights project (RFP 25-037) and other city contracts would be expected to follow when submitting invoices for services rendered.

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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 .