Agency Voucher No.
                    STATE OF TEXAS PURCHASE VOUCHER                                                      
                                                     FOR CONSTRUCTION PROJECT MANAGEMENT                                                                       
                Comptroller's Vendor Number                     Agency No.                  Agency Name                                           TFC Project Number
                                                                    303                           TFC                                                          
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                 Pay to: (Name, Address, City State, Zip Code)                        tPeriod of Service
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                                                                             From:                       To:                                          Contract Date
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                                                                                      n                                                            Total Voucher Amount
                                                                         Invoice Date            Invoice Number
                                                                                      g
                                                                                      i
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                                                                                                                                                          $0.00 
                                                                                                           
                                                                                       
                                                                                       
                                                                                           Architect/Engineer:
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             Project Cost Description               Project Cost Amount               i        Architect/Engineer:
                                                                                      t
                                                                                     
                                                                                      c
                                                                                     
                                                                                      ee
       Contract/Agreement Number                                                    n St
                                                                                    o  a
                                                                                    i l       TFC Project Manager:
                                                                                    t aD
       Contract Date                                                                c v 
                                                                                    e od
                                                                                    S rn
       Original Construction Cost                                                      a
                                                                                    l p           TFC Design & 
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       Change Order Cost                                                            v Ag     Construction Director:
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                                                                                    r  S
       Fee Basis (%)                                                                p
                                                                                    p       TFC Executive Approval:
                                                                                    A
       Total Basic Services Fee
                                                                                       Description of Service
                                                                                                            Percent                                             Previously 
               A/E  Basic Services (New Construction)                  Percent           Fee              Completed              Amount Earned                  Approved             Now Due
       Schematic Design/Draft Prelim Report                                                                                                                                                       
       Design Development/Final Preliminary Report                                                                                                                                                
       Construction Documents/Final Report                                                                                                                                                        
       Bidding and Award                                                         
       Construction Administration                                               
       Less Retainage
       Total A/E Fee (New Construction) (Class-871)                                                         Percent                                             Previously                  0.00 
                   A/E Basic Services (Renovation)                     Percent           Fee              Completed              Amount Earned                  Approved             Now Due
       Schematic Design/Draft Prelim Report
       Design Development/Final Preliminary Report
       Construction Documents/Final Report
       Bidding and Award
       Construction Administration
       Less Retainage                                                                                                                                                                             
       Total A/E Fee (Renovation) (Object Class 871)                                                                                                                                        0.00 
                                                                                                                                                                                     Now Due
                           Additional Services
       Amendment Number:                   
       Amendment Number:                   
       Amendment Number:                   
       Less Retainage
       Total Additonal Services (Object Class 873)                                                                                                                                          0.00 
       Testing & Other General Expenses (Provide detail supporting documents in accordance with your contract agreement)                                                             Now Due
       Testing Services (Provide Detail Supporting Documents)(884)                                                                                                                                
       Surveys (882)                                                                                                                                                                              
       Printing and Reproduction (874)                                                                                                                                                            
       Misc. Expenses:  (896)                                                                                                                                                                     
                                                                                                                                   Total Testing & Other General Expenses                   0.00 
                                                                                                               TOTAL AMOUNT DUE THIS PAY VOUCHER:                              $0.00
                                        AGENCY CERTIFICATION                                                                           PRICES ABOVE ARE APPROVED
               I certify that the above services were rendered or goods received; that they                                              Texas Facilities Commission
                                                                                                                                                      
       correspond every particular with the contract under which they were procured; that the 
         invoice is true and unpaid; and that the claim was presented to the State within the 
                                       applicable limitations period.                                   Signature of TFC, FDC Accountant or Auditor:
                                                                        FOR STATE PAYING AGENCY FISCAL USE ONLY
                                                                                                                                               Batch No:
       Remittance Vendor ID                    DT                        Source Code          (Circle One)                                                                           Batch Date
                                                                                             Send to USAS                                    Entered By:
                                             Amount                           PCC              Yes       No                               Date Entered:
                                                                                                                           Warrant/Direct Deposit No.:
        Encumbrance No.       C               Req #              Order Date      Invoice #    Received Date        AY                 Agency Fund                  Object Class      Org Code
                                                                                                                                                                                           
            Amount                   Payment Due Date               Request Payment Date           Interest Override                        Description (includes vendor account#)
                 
                                                                                       Descriptive / Legal Text
       Prepared by:                                                   Date:                Approved by:                                                            Date:
             $0.00