Sample_Billing_Form_-_Informational_Only.pdf
PDF 135 KB Posted
- Attached to
- Door Access Readers
- Solicitation number
- 26-17
- Issued by
- Jefferson County, Weston CDP, Colorado
About this file
This is a sample billing form document for the City of Wheat Ridge, Colorado, designed for vendors to submit invoices for services rendered. The form provides a standardized template for tracking basic services and additional services, requiring vendors to document task descriptions, fee amounts, percentage completion, and fees earned against prior billing amounts to determine the total amount due. The form requires authorization signatures from both the vendor and the City Department approver and must be submitted to the City of Wheat Ridge Accounts Payable department located at 7500 W. 29th Avenue, Wheat Ridge, CO 80033.
The billing form contains designated sections for itemizing charges, calculating amounts earned versus previously billed amounts, and documenting additional service charges beyond the basic service agreement. This template establishes a consistent invoicing procedure for municipal vendors and includes fields for service period documentation, contact information, and approval tracking to ensure proper authorization and payment processing through the City's accounting system.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Door_Access_Readers_(Addendum_#2_Revision).pdf | ||
| City_Hall_2.jpg | JPG image | |
| Evidence.jpg | JPG image | |
| Evidence_3.jpg | JPG image | |
| PNSB_1.jpg | JPG image | |
| Anderson_pool.png | PNG image | |
| City_Hall_1.jpg | JPG image | |
| City_Hall_3.png | PNG image | |
| Anderson_Parks_Shop.jpg | JPG image | |
| City_Hall.jpg | JPG image | |
| City_Hall_4.jpg | JPG image | |
| Evidence_2.jpg | JPG image | |
| Public_Works_1.jpg | JPG image | |
| Active_Adult_Center.png | PNG image | |
| PNSB.jpg | JPG image | |
| Public_Works.jpg | JPG image | |
| RC.jpg | JPG image | |
| Door_Access_Readers.pdf | ||
| Sample_Agreement_-_Informational_Only.pdf | ||
| Sample_Agreement_-_Informational_Only.pdf | ||
| Sample_Billing_Form_-_Informational_Only.pdf |
Show all 21
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .