Sample_Billing_Form_-_Informational_Only.pdf
PDF 135 KB Posted
- Attached to
- Rec Center Gym Lights
- Solicitation number
- 25-037
- Issued by
- Jefferson County, Weston CDP, Colorado
About this file
This document is a sample billing form for the City of Wheat Ridge, Colorado, designed as a template for vendors to submit invoices for city projects. The form provides a structured layout for detailing basic and additional services, with columns for tasks, fee amounts, percentage of completion, fees earned, and prior billing. Vendors are instructed to submit the completed form to Accounts Payable at 7500 W. 29th Avenue, Wheat Ridge, CO 80033.
The billing form allows for comprehensive financial tracking, with sections to calculate total fees earned, amounts previously billed, and current amount due. It requires vendor signatures, printed names, and titles, as well as city department approval. The form is marked as "SAMPLE BILLING FORM - For Example Only," indicating it is a template to guide vendors in their billing process, with spaces to input specific project details, service periods, and financial information for each billing cycle.
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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 .