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, Colorado, designed to facilitate invoicing for municipal projects and services. The form provides a template for vendors to document their billing, including basic and additional services, with columns for tasks, fee amounts, percentage of completion, fees earned, and prior billings. The form is intended to be submitted to the Accounts Payable department at 7500 W. 29th Avenue, Wheat Ridge, CO 80033.
The billing form includes sections for calculating total fees, subtracting previously billed amounts, and determining the current amount due. It requires vendor signatures, printed names, titles, and city department approval. While this is a sample form and does not contain specific project details, it provides a standardized method for contractors and service providers to bill the City of Wheat Ridge for completed work, ensuring clear and consistent financial documentation for municipal projects.
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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 .