Sample_Billing_Form_-_Informational_Only.pdf

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Attached to
Bus Stop & Shelter Cleaning & Snow Removal Services
Solicitation number
25-41
Issued by
Jefferson County, Weston CDP, Colorado

About this file

This document is a sample billing form from the City of Wheat Ridge, Colorado, designed for vendors to submit invoices for city projects. The form provides a template for documenting basic and additional services, with sections for task description, fee amounts, percentage of completion, fees earned, and prior billings. The form is to be submitted to Accounts Payable at 7500 W. 29th Avenue, Wheat Ridge, CO 80033.

The billing form includes spaces for detailed financial tracking, such as total fee earned, amounts previously billed, and the current amount due. It requires signatures from the vendor and a city department approver, ensuring proper documentation and approval of invoiced services. While this is a sample form, it suggests a standardized process for vendors to bill the City of Wheat Ridge for completed project work, with provisions for both basic and additional services.

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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 .