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XYZ Co. SAMPLE INVOICE Ensure EPRI project number Tel: (650) 855-XXXX Fax: (650) 855-XXXX is listed. www.EPRIsamplecompany.com Provide necessary information for EPRI to issue and mail payment. TO: Electric Power Research FROM: XYZ Company Institute Attn: Accounts Receivable Attn: Accounts Payable 168 Electric Avenue Listing the EPRI P.O. Box 10412 Elyria, Ohio 44035 Project Manager Palo Alto, California 94303 is helpful. epriinvoices@epri.com Tax ID #: XX - XXXXXXX Identify the period Invoice No: when the costs Invoice Date: xx/xx/20xx EPRI Contract: 1000XXXX were incurred. EPRI Project Manager: For Costs incurred for the period from xx/xx/20xx through xx/xx/20xx . Include a cumulative *Cost elements should be consistent with the contract budget. contract cost column. *Cost Element Current Cumulative List current costs incurred Direct Material $xx,xxx $xx,xxx for period. Subcontracted xxx xx,xxx Interdivisional xx x,xxx Equipment Rental/Lease x,xxx xx,xxx Ensure the invoice costs descriptions Purchased Special Equipment xx,xxx xx,xxx match those listed Consultants x,xxx x,xxx in the contract budget. Travel x,xxx xxx,xxx Other Direct Costs x,xxx xxx,xxx Direct Labor x,xxx xxx,xxx Currency is Total Direct Costs xx,xxx x,xxx,xxx payable in US dollars. Overhead @ % of xx,xxx x,xxx,xxx Total Direct Costs & Overhead xx,xxx x,xxx,xxx A contact person General & Admin (G&A) @ % of xx,xxx x,xxx,xxx and phone number is helpful. Total Cost xx,xxx x,xxx,xxx Fee or (Cost Sharing) @ % x,xxx xx,xxx Total Invoice xxx,xxx x,xxx,xxx Issue a separate invoice for rate Less Retention x,xxx x,xxx adjustment and include details. Total After Retention (If Applicable) xxx,xxx xx,xxx,xxx Inclusion of a rate adjustment with Amount Due (In US $’s) xxx,xxx current costs could delay payment. For questions on this invoice, please contact Jon Know at 654-855-XXXX of jknow@xyz.com Page 1 of 1
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