Sample_Billing_Form_-_Informational_Only.pdf

PDF 135 KB Posted

Attached to
Contracted, Part-time Municipal Prosecutor
Solicitation number
26-001
Issued by
Jefferson County, Weston CDP, Colorado

About this file

This is a sample billing form document associated with a municipal contract opportunity in Colorado, specifically involving the City of Wheat Ridge and a contracted, part-time municipal prosecutor position. The form serves as a template for vendors to submit invoices for services rendered, organized to capture basic service fees, percentage completion, amounts earned, and prior billing amounts. The contract opportunity itself involves a one-year initial term with options to renew for four additional one-year periods, though no specific response deadline or award date is provided in the available documentation.

The billing form requires vendors to itemize basic service tasks with associated fees and completion percentages, calculate total fees earned, and deduct prior billing amounts to determine the current amount due. Additional services may be billed separately, and the form requires signatures from both the vendor and the City Department approver before submission to the City of Wheat Ridge Accounts Payable office located at 7500 W. 29th Avenue, Wheat Ridge, Colorado 80033. No specific pricing terms, set-asides, or funding amounts are detailed in this sample billing form document.

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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 .