Sample_Billing_Form_-_Informational_Only.pdf
PDF 135 KB Posted
- Attached to
- Wayfinding Signage for Clear Creek Trail
- Solicitation number
- 26-39
- Issued by
- Jefferson County, Weston CDP, Colorado
About this file
This is a sample billing form designed for the City of Wheat Ridge, Colorado, in connection with the Wayfinding Signage for Clear Creek Trail project. The form serves as a template for vendors to submit invoices for services rendered during specified periods. The document provides sections for documenting basic service tasks with associated fee amounts, percentage of completion, and fees earned, along with tracking of prior billing amounts to calculate the total amount due. The form accommodates additional services billing and requires authorization from both the vendor and the appropriate city department approver before submission to the City of Wheat Ridge Accounts Payable office located at 7500 W. 29th Avenue, Wheat Ridge, CO 80033.
The billing form is structured to maintain clear financial records by requiring vendors to report cumulative fees earned, subtract previously billed amounts, and clearly state the current amount due. The form does not specify pricing terms, contract duration, or payment schedules; rather, it functions as an administrative tool for processing vendor invoices on a periodic basis. All submissions require vendor signature with printed name and title, as well as dated approval from the designated city department representative, ensuring proper authorization and accountability for all charges billed against the Clear Creek Trail project.
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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 .