Sample_Billing_Form_-_Informational_Only.pdf

This is a sample billing form for the City of Wheat Ridge, Colorado related to the Prospect Park Pump Replacement project. The form is designed to document service fees, completion percentages, and amounts due for contractor billing purposes. The form includes sections for basic service tasks with associated fee amounts and percentage completion metrics, prior billing deductions, and additional services charges. Key administrative information required includes the project name and number, city contact information, service period dates, and vendor signature with printed name and title. The completed form must be submitted to the City of Wheat Ridge Accounts Payable Department located at 7500 W. 29th Avenue, Wheat Ridge, Colorado 80033, with required approval signature from the appropriate city department.

The billing form establishes the standard payment structure and documentation requirements for the pump replacement contractor. All fees must be clearly itemized with corresponding completion percentages to calculate earned fees, with the form requiring reconciliation of prior billing amounts against current amounts due. The form mandates both vendor and city department approval signatures and dates to ensure proper authorization and accountability for all invoiced amounts before payment processing through the city's accounts payable system.