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A Architect Information Invoice Information Invoice #: Project Information Service Category Detail Contract Information Basic Services Additional Services Totals Invoice # Date
Net Amount
Reimbursables FOR CASE USE ONLY
Invoice #: Approved for Payment: Date: PO#: Predesign Services Category Sample Charges Travel & Lodging USPS, FedEx, Courier Service In-house Reproduction & Printing% xerox copies, in-house drawing copies Vendor Reproduction & Printing" Lakeside Blueprints, copy services Communications - Telephone long-distance charges Consultant FeesC Consultants' fees and reimbursables (travel expenses, copies, etc.)! Communications - Postage/Delivery Please also note: Tax ID: XX-XXXXXXXX TOTAL
Amendments Balance to Finish Previous Application This Period Total Completed to Date Contractual Billing Rates Position Rate/Hr Principal Revised Contract Amt Original Contract Wireless Survey Building/Location: Invoice date: Original Agreement Amended to Date Revised Contract Total Completed Previous Billings Net Amount Due
Firm name: C o n t a c t p e r s o n s n a m e : Phone number:
Fax number: Structural Study> Note Any Outstanding Invoices Billed to Date on this PO Number Project Architect Architect Senior Engineer Engineer Intern
Administrator Address: E-mail: Project Name: CASE Project #: (CIP) Case Project Manager: Firm name: Our Firm
Suite 100A E-mail: smith@ourfirm.com Tax ID: Cost Doe, Jane USPS FedEx Smith, John
CASE PO#: Reimbursables GuidelinesQ airfare, hotel, taxis, rental cars, parking, mileage (Travel Agent fees excluded)9 Reimbursable meals shall not include alcoholic beverages.R Supporting documentation for all reimbursable costs is required for reimbursement. % Complete 100 copies @ .05/sheet! C o n t a c t p e r s o n s n a m e : J o h n S m i t h X For the period ending:0 ARCHITECTURAL & ENGINEERING SERVICES FEE INVOICE: ARCHITECTURAL & ENGINEERING SERVICES REIMBURSABLES INVOICEh Reimbursable mileage shall be expensed in accordance with the current IRS Standard Business Mileage Rate Office of Business & Finance) Campus Planning and Facilities ManagementD PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP Our Firm 1234 Main Street Anytown, OH 44000 Fax number: 216-368-0765 Invoice #: 001234 For the period ending: 7/31/07 Phone number: 216-368-6907 CASE Project #: (CIP) XXXXXX Communications-Postage/Delivery E-mail: smith@ourfirm.com( Building/Location: Building Name/Address Structural Survey Eng Vendor Printing Inc. Vendor Printing Co.
Detail/Vendor PROJECT NO:
PROJECT NAME: CASE MGMT FILING NO: DESIGN FILING NO: CONST FILING NO: OTHER: Address: 1234 Main Street Anytown, Ohio 44000" C o n t a c t p e r s o n s n a m e : J o h n S m i t h Tax ID: XX-XXXXXXXX Invoice #: 1234 Invoice date: 8/12/2010 For the period ending: 7/30/2010 Project Name: The Project CASE PO#: K0000012341 Case Project Manager: Nick Christie/Rick Pruden Phone number: 216-368-6907 Fax number: 216-368-0765 Existing Conditions Survey CM Related Services Schematic Design Design Development Construction Documents G506 Amend #1 (5/31/07) G506 Amend #2 (6/21/07) 1232 1233 Invoice date: b Clear and accurate backup detail with claimed amount circled is required to receive reimbursement. Reimbursement for meals shall be expensed in accordance with the current USGSA per diem rate for Cleveland, Cuyahoga County, Ohio. All original detailed itemized receipts must be included. CWRU does not pay for additional mark-ups on services. Charges listed on the invoice should match precisely with supporting documentation. All original detailed itemized receipts must be provided as back-up documentation. Q PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP T N l [ 3 Y } N 0
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