Sample_Billing_Form_-_Informational_Only.pdf
PDF 135 KB Posted
- Attached to
- City Employee Benefits
- Solicitation number
- 26-22
- Issued by
- Jefferson County, Weston CDP, Colorado
About this file
This is a sample billing form template from the City of Wheat Ridge, Colorado, designed for vendors to submit invoices for services rendered. The form is structured to accommodate both basic services and additional services, with sections for task descriptions, fee amounts, percentage of completion, and fees earned. Vendors must document prior billing amounts and calculate the total amount due, with approval required from the appropriate city department before submission to the Accounts Payable office located at 7500 W. 29th Avenue, Wheat Ridge, CO 80033. The form requires signatures from both the vendor and city department approval authority, along with printed names, titles, and dates to ensure proper authorization and documentation of payment requests.
The billing form serves as an informational template and does not establish specific pricing terms, contract values, or payment schedules. It is a standardized document intended to streamline the invoicing process for multiple types of service contracts with the City of Wheat Ridge by providing a consistent format for expense reporting and departmental approval. The form does not contain information regarding set-asides, funding sources, or contract-specific financial requirements, as it is designed as a general-purpose billing instrument applicable across various city procurement activities.
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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 .