Sample_Billing_Form_-_Informational_Only.pdf
PDF 135 KB Posted
- Attached to
- Equity Audit
- Solicitation number
- 26-8
- Issued by
- Jefferson County, Weston CDP, Colorado
About this file
This is a sample billing form provided by the City of Wheat Ridge, Colorado, for use in connection with the Equity Audit consulting services contract. The form serves as an informational template for vendors to submit invoices for payment under this professional services engagement. The billing form is designed to track both basic service fees and additional services, with sections for documenting the task performed, fee amount, percentage of work completed, and fees earned. Vendors are required to reconcile prior billings against current amounts due and obtain approval from the designated City department before submission. All completed billing forms must be submitted to the City of Wheat Ridge Accounts Payable Department located at 7500 W. 29th Avenue, Wheat Ridge, Colorado 80033.
The sample billing form includes signature lines for both the vendor and City department approver, along with fields for title, date, and project identification information. This document establishes the administrative framework for processing contractor invoices throughout the contract term, which commences April 1, 2026, and runs for an initial one-year period with potential automatic renewal contingent upon acceptable performance and firm pricing. The form reflects the City's standard accounts payable procedures and payment authorization requirements for all vendor-submitted invoices related to the Equity Audit engagement.
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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 .