Sample_Billing_Form_-_Informational_Only.pdf

PDF 135 KB Posted

Attached to
Tabor Street Improvements
Solicitation number
26-36
Issued by
Jefferson County, Weston CDP, Colorado

About this file

This is a sample billing form document for the City of Wheat Ridge, Colorado, related to the Tabor Street Improvements project. The form is designed for consultants to submit invoices for Final Design services on corridor improvements along Tabor Street from Clear Creek Trail to W Interstate 70 Frontage Road N. The project requires integration of three key elements: traffic calming, bicycle infrastructure, and pedestrian amenities. The billing form includes sections for documenting the period of service, basic service tasks with associated fees and percentage of completion, prior billing amounts, and additional services. All invoices are to be submitted to the City of Wheat Ridge Accounts Payable department located at 7500 W. 29th Avenue, Wheat Ridge, CO 80033.

The billing form requires vendor signatures, printed names, titles, and approval signatures from the appropriate City department approver along with dates. The form calculates fee earned based on percentage of work completed, deducts prior billing amounts, and determines the total amount due for each billing period. This document serves as an informational template only and establishes the standard invoicing procedures and documentation requirements that consultants must follow when billing the City of Wheat Ridge for professional services rendered on this 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 .