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 .