Sample_Billing_Form_-_Informational_Only.pdf

PDF 135 KB Posted

Attached to
Prospect Park Pump Replacement State and local contract opportunity
Solicitation number
26-24
Issued by
Jefferson County, Weston CDP, Colorado

About this file

This is a sample billing form document provided by the City of Wheat Ridge, Colorado for informational purposes only. The form serves as a template for contractors to submit invoices for services rendered under city contracts. The billing form is designed to track basic service fees, percentage of completion, fees earned, prior billing amounts, and additional services charges. It requires documentation of the project name and number, service period, task descriptions, and fee amounts, with space for detailed supporting reports to be attached. The form must be signed by both the vendor and the appropriate city department approver before submission to the City of Wheat Ridge Accounts Payable department located at 7500 W. 29th Avenue, Wheat Ridge, Colorado 80033.

The sample billing form structure requires vendors to calculate the total amount due by subtracting amounts previously billed from fees earned for basic services and adding any charges for additional services. The form includes fields for the vendor's signature, printed name, and title, as well as approval signature and title from the city department overseeing the contract work. This standardized billing format ensures consistent documentation and processing of contractor invoices across city departments and facilitates proper accounting and payment procedures for state and local contract work.

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Sample_Agreement_-_Informational_Only.pdf PDF
Sample_Billing_Form_-_Informational_Only.pdf PDF
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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 .