Sample_Billing_Form_-_Informational_Only.pdf

PDF 135 KB Posted

Attached to
Anderson Pool Design State and local contract opportunity
Solicitation number
26-19
Issued by
Jefferson County, Weston CDP, Colorado

About this file

This is a sample billing form for the City of Wheat Ridge, Colorado, designed to facilitate vendor invoice submissions for professional services rendered. The form is structured to accommodate both basic service fees and additional services, with line items for task descriptions, fee amounts, percentage of completion, and fees earned. It requires documentation of prior billing amounts and calculations of the amount due, along with supporting reports for detailed reference. The form mandates signatures from both the vendor and the responsible city department approver, with submissions directed to the City of Wheat Ridge Accounts Payable department located at 7500 W. 29th Avenue, Wheat Ridge, Colorado 80033.

The billing form establishes clear accounting procedures for tracking consultant compensation on the Anderson Pool Design project, which involves planning, public engagement, design, and construction documentation services for the replacement of the City's outdoor community pool at Anderson Park. Vendors must document the period of service, project phase completion status, and itemize all charges related to both primary scope work and any additional services performed. The form requires detailed backup documentation and maintains an approval workflow to ensure proper authorization and accounting controls over contractor payments throughout the project delivery process.

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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 .