Sample_Billing_Form_-_Informational_Only.pdf

PDF 135 KB Posted

Attached to
Zoning Code Consultant
Solicitation number
25-40
Issued by
Jefferson County, Weston CDP, Colorado

About this file

This is a sample billing form document for the City of Wheat Ridge, Colorado, designed to facilitate invoice submission and payment processing for services rendered under contract. The form provides a standardized template for vendors to document service delivery, including sections for basic services with associated fees and percentage completion rates, as well as additional services performed beyond the base contract scope. The form requires documentation of prior billing amounts, calculation of amounts currently due, and signatures from both the vendor and the responsible city department approver to authorize payment.

The billing form is configured for submission to the City of Wheat Ridge Accounts Payable department and supports the city's zoning code consultant project, which is funded through a combination of city resources and federal grant funding from the Colorado Energy Office Local Impact Accelerator Grant via the EPA's Climate Pollution Grant program. This structure enables the city to maintain accurate records of vendor invoices while ensuring compliance with federal grant reporting and billing requirements associated with the comprehensive zoning code analysis and amendment drafting initiative.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .