Sample_Billing_Form_-_Informational_Only.pdf
PDF 135 KB Posted
- Attached to
- 35th Avenue Multimodal Improvements
- Solicitation number
- 26-38
- Issued by
- Jefferson County, Colorado
About this file
This is a sample billing form provided by the City of Wheat Ridge, Colorado for informational purposes related to consultant services. The form is designed for vendors to submit invoices for work performed on city projects, with designated spaces for the project name and number, city contact information, and service period documentation. The billing form accommodates both basic service fees and additional services, requiring vendors to detail task descriptions, fee amounts, percentage of completion, and fees earned against prior billings to calculate the total amount due for each billing period.
The form requires vendor certification through signature, printed name, and title, along with approval by the appropriate city department representative before submission to the Accounts Payable department at City of Wheat Ridge, 7500 W. 29th Avenue, Wheat Ridge, Colorado 80033. The billing structure allows for itemized tracking of work progress and cost management, with supporting reports referenced for detailed project information. This standardized format is intended to facilitate transparent financial documentation and accountability for consultant-performed services on municipal projects, including the 35th Avenue Multimodal Improvements project, which involves corridor enhancements incorporating traffic calming, bicycle infrastructure, and pedestrian amenities from Sheridan Boulevard to Wadsworth Boulevard.
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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 .