Sample_Billing_Form_-_Informational_Only.pdf
PDF 135 KB Posted
- Attached to
- Lakemont Center Drainage Improvements
- Solicitation number
- 25-051
- 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 to be used by vendors for submitting invoices for city projects. The form provides a template for detailing basic and additional services, with sections for entering task descriptions, fee amounts, percentage of completion, fees earned, and prior billings. It includes fields for the project name and number, city contact information, period of service, and a breakdown of billing components.
The billing form is structured to capture comprehensive financial information, with spaces for calculating total fees earned, amounts previously billed, and the current amount due. It requires signatures from the vendor and city department approver, and provides a submission address for Accounts Payable at 7500 W. 29th Avenue, Wheat Ridge, CO 80033. The form is marked as "SAMPLE BILLING FORM - For Example Only," indicating it serves as a template for vendors to understand the city's invoicing process and requirements.
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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 .