Sample Supplier Invoice.docx

DOCX document 27 KB Posted

Attached to
D 11-2 Reflective Uniform rental
Solicitation number
6100065920
Issued by
Beaver County, Ringtown Borough, Pennsylvania

About this file

This is a supplier invoice template document for the Commonwealth of Pennsylvania. The template provides a standardized format for vendors to submit invoices for goods or services provided to Pennsylvania state agencies and departments. The invoice captures essential procurement information including the supplier's corporate and remit addresses, SAP vendor numbers, bill-to and ship-to addresses for state facilities, and itemized line items with corresponding SAP purchase order numbers, material codes, descriptions, quantities, units of measure, unit prices, and total prices. The document emphasizes that all invoicing must reference the SAP P.O. number and include service dates when applicable, with shipping and handling listed as separate line items if applicable to the purchase order.

The template includes specific payment instructions requiring checks to be made payable to the supplier company name and establishes net payment terms. The Commonwealth provides recommendations to vendors regarding invoice submission standards, including submitting invoices only on black and white paper rather than colored paper to prevent imaging and processing delays, and ensuring invoices are legible to facilitate the scanning and payment process. Additional documentation may be attached to invoices as required by individual procurement transactions. Vendors are directed to contact their procurement representative to obtain their SAP vendor numbers and to direct any questions regarding invoices to the designated procurement contact information provided in the template.

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Text version

Company Name

INVOICE

Invoice # Customer Account #: _____________ Sales Order #: _____________ Quote #: _____________ Invoice Date: December 23, 2024

Supplier Corporate Address:

Company Name Street Address City, State, Zip Phone: (123) 456-7890 Fax: (234) 567-8901 SAP Vendor #: 125435-123

Supplier Remit Address:

Company Name Street Address City, State, Zip Phone: (123) 456-7890 Fax: (234) 567-8901 SAP Vendor #: 125435-123 Make all checks payable to “Company Name”

Bill To Address:

Agency/Department Name and Facility/Institution Commonwealth of Pennsylvania PO Box City, PA, Zip Tel #:

Ship To Address:

Agency/Department Name and Facility/Institution Commonwealth of Pennsylvania PO Box City, PA, Zip Tel #:

Comments or special instructions:

SAP P.O. Number
Procurement Contact
Shipped via
F.O.B. Point
Terms

Net xx days Date of invoice receipt

SAP P.O. Line Item #
SAP Material #
Description
Quantity Shipped
Unit of Measure
Unit Price
Total Price

TOTAL due

If you have any questions concerning this invoice, contact:

Name: Email:

Tel: Fax:

Notes:

SAP is our enterprise software system. To find out your SAP vendor numbers, please contact your procurement representative.

If applicable, shipping and handling must be a line item on the purchase order and invoice.

If applicable, additional documentation will be attached to this invoice as required.

If applicable, provide service dates within the comments and special instructions.

Recommendations when invoicing (not part of invoice template)

1. Do no submit invoices on colored paper (yellow, green, blue, etc.). Please submit on only black and white. Colored paper creates issues when they are imaged and delay the payment process.

2. Please insure that invoices are legible. If paper invoices are ‘barely’ legible, scanning the invoices make them less so and delay the payment process.

File details come from the government source that posted it. Updated .