PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD LETTERHEAD AS BACK-UP FOR CASE USE ONLY PROJECT NO: PROJECT NAME: CASE MGMT FILING NO:
Campus Planning and Facilities Management Office of Business & Finance
DESIGN FILING NO: CONST FILING NO: OTHER:
ARCHITECTURAL & ENGINEERING SERVICES FEE INVOICE Architect Information Firm name: Address:
Invoice Information Invoice #: Invoice date: date: For the period ending: Original Agreement Amended Amended to Date Date Revised Contract Total Completed Previous Billings Net Amount Due
Contact person’s name:
Phone number: Fax number: Tax ID: E-mail: Service Ca Category
Detail
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Previous Application
Contract Information Original Contract
Amendments
Project Information Project Name: CASE PO#: CASE Project #: (CIP) Building/Location: Case Project Manager:
This Pe Period
Total Completed to Date
% Complete
Balance to Finish
Revised Contract Amt
Predesign Services
##### ##### #####
$ $ $
-
##### ##### ##### #####
$ $ $ $
-
$ $ $ $ $ $ $ $ $ $
0.00
$ $
-
#DIV/0! #DIV/0! #DIV/0!
-
#DIV/0! #DIV/0! #DIV/0! #DIV/0!
-
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
$
-
$
Basic Services
$ $
-
$ $
Additional Services
Totals
#####
0.00
Note Any Outstanding Invoices Billed to Date on this PO Number Invoice # Net Amount Date
TOTAL
-
$ $ $ $ $ $ $ -
-
$
0.00
$ $ $ $ $ $
Contractual Billing Rates P osition
Principal Project Architect Architect Senior Engineer Engineer Intern Administrator
0.00
Rate/Hr
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
FOR CASE USE ONLY
PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP
Invoice #: Approved Approved for Payment: Payment: X
Cedar Avenue Service Center
Date: PO#:
10620 Cedar Ave / Cleveland OH 44106-7228 E-mail:
[email protected]
$
-
Phone 216-368-6907 Fax 216-368-0765 Web www.case.edu/construction
PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP FOR CASE USE ONLY PROJECT NO: PROJECT NAME: CASE MGMT FILING NO:
Campus Planning and Facilities Management Office of Business & Finance
DESIGN FILING NO: CONST FILING NO: OTHER:
ARCHITECTURAL & ENGINEERING SERVICES FEE INVOICE Architect Information Firm name: Our Firm Address: 1234 Main Street Suite 100A Anytown, OH 44000 Contact person’s name: John Smith Phone number: 216-368-6907 Fax number: 216-368-0765 Tax ID: XX-XXXXXXXX E-mail:
[email protected] Service Category
Invoice Information Invoice #: 001234 Invoice date: 8/1/07 For the period ending: 7/31/07 Original Agreement Amended to Date Revised Contract Total Completed Previous Billings Net Amount Due
Detail
$11,100.00 $600.00 $11,700.00 $3,050.00 $1,850.00 $1,200.00 Previous Application
Contract Information Original Contract
Project Information Project Name: CASE PO#: CASE Project #: (CIP) Building/Location: Case Project Manager:
This Period
Total Completed to Date
% Complete
Balance to Finish
Revised Contract Amt
Amendments
Predesign Services Existing Conditions Survey CM Related Services
54% $ 11% $ 0%
6,000.00 1,200.00
$ $ $
6,000.00 1,200.00 -
5% $ 14% $ 16% $ 0%
600.00 1,500.00 1,800.00
$ $ $ $ $ $ $
$ $
850.00 1,000.00
$ $
50.00 200.00
$ $ $
900.00 1,200.00 -
600.00 1,500.00 1,800.00 -
$
350.00
$ $ $ $
500.00 100.00 -
$ $
500.00 100.00
$ $ $
15% $ 100% $ #DIV/0! $
5,100.00 -
350.00 -
58% 0% 0% #DIV/0!
250.00 1,500.00 1,800.00 -
500.00 100.00 -
100% $ 100% $ #DIV/0! $
Basic Services Schematic Design Design Development Construction Documents
$ $ $ $
Additional Services G506 Amend #1 (5/31/07)
Wireless Survey
G506 Amend #2 (6/21/07)
Structural Study
$ $
500.00 100.00
$ $ $ $ $ $ $
Totals
100%
11,100.00
Note Any Outstanding Invoices Billed to Date on this PO Number Invoice # Net Amount Date 1232 $850.00 05/15/07 1233 $500.00 05/15/07
TOTAL
600.00
$ $ $ $ $ $ $
-
11,700.00
1,850.00
1,200.00
-
3,050.00
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
26%
-
$ $ $ $ $ $ $
-
8,650.00
Contractual Billing Rates Position
Principal Project Architect Architect Senior Engineer Engineer Intern Administrator
1,350.00
Rate/Hr
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
FOR CASE USE ONLY
PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP
Invoice #: Approved for Payment: X
Cedar Avenue Service Center
Date: PO#:
10620 Cedar Ave / Cleveland OH 44106-7228 E-mail:
[email protected]
$
1,200.00
Phone 216-368-6907 Fax 216-368-0765 Web www.case.edu/construction
PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP FOR CASE USE ONLY PROJECT NO: PROJECT NAME: CASE MGMT FILING NO:
Campus Planning and Facilities Management Office of Business & Finance
DESIGN FILING NO: CONST FILING NO: OTHER:
ARCHITECTURAL & ENGINEERING SERVICES REIMBURSABLES INVOICE Architect Information Firm name: Address:
Invoice Information Invoice #: Invoice date: For the period ending: Original Agreement Amended to Date Revised Contract Total Completed Previous Billings Net Amount Due
Contact person’s name:
Phone number: Fax number: Tax ID: E-mail: Service Category
Detail/Vendor
Cost
Date
Project Information
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Previous Application
Contract Information Original Contract
Project Name: CASE PO#: CASE Project #: (CIP) Building/Location: Case Project Manager:
Amendments
Total Completed to Date
This Period
% Complete
Balance to Finish
Revised Contract Amt
Reimbursables
$
-
$
-
$
-
#DIV/0!
$
-
#####
$
-
$
-
$
-
#DIV/0!
$
-
#####
$
-
$
-
$
-
#DIV/0!
$
-
#####
$
-
$
-
$
-
#DIV/0!
$
-
#####
$
-
$
-
$
-
#DIV/0!
$
-
#####
$
-
$
-
$
-
#DIV/0!
$
-
#####
$
-
$
-
$
-
#DIV/0!
$
-
#####
$
-
$
-
$
-
#DIV/0!
$
-
#####
$
-
$
-
$
-
#DIV/0!
$
-
$
-
$
-
$
-
#DIV/0!
$
-
$
-
$
-
$
-
#DIV/0!
$
-
#####
Totals
$
-
##### $
-
$
-
$
-
Note Any Outstanding Invoices Billed to Date on this PO Number
Invoice #
Net Amount
Date
PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP TOTAL
$
FOR CASE USE ONLY
Invoice #: Approved for Payment: X
Date: PO#:
$
-
CEDAR AVENUE SERVICE CENTER 10620 CEDAR AVENUE CLEVELAND, OHIO 44106-7228 Email:
[email protected] Phone: 216-368-6907 Fax: 216-368-0765 Web: www.case.edu.construction
PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP FOR CASE USE ONLY PROJECT NO: PROJECT NAME: CASE MGMT FILING NO:
Campus Planning and Facilities Management Office of Business & Finance
DESIGN FILING NO: CONST FILING NO: OTHER:
ARCHITECTURAL & ENGINEERING SERVICES REIMBURSABLES INVOICE Architect Information Firm name: Our Firm Address: 1234 Main Street Suite 100A Anytown, Ohio 44000
Invoice Information Invoice #: 1234 Invoice date: 8/12/2010 For the period ending: 7/30/2010 Original Agreement Amended to Date Revised Contract Total Completed Previous Billings Net Amount Due
Contact person’s name: John Smith
Phone number: 216-368-6907 Fax number: 216-368-0765 Tax ID: XX-XXXXXXXX E-mail:
[email protected] Service Category
Detail/Vendor
Cost
Date
Amendments
$700.00 $120.00 $820.00 $591.30 $203.00 $388.30 Previous Application
Contract Information Original Contract
Project Information Project Name: The Project CASE PO#: K000001234 CASE Project #: (CIP) XXXXXX Building/Location: Building Name /Address Case Project Manager: Nick Christie/Rick Pruden
Total Completed to Date
This Period
% Complete
Balance to Finish
Revised Contract Amt
Reimbursables CommunicationsPostage/Delivery
Consultant Fees In-house Reproduction & Printing Travel & Lodging
Vendor Reproduction & Printing
$
-
$
0%
$
-
0%
$
-
7/27/2010
0%
$
7/15/2010
0%
$
117.45
7/8/2010
0%
126.03
7/8/2010
0%
$
51.23
7/8/2010
$
18.60
7/26/2010
$
388.30
USPS
$
FedEx FedEx
0.78
7/2/2010
$
6.39
7/13/2010
$
12.82
7/25/2010
Structural Survey Eng
$
50.00
100 copies @ .05/sheet
$
5.00
Smith, John
$
Doe, Jane
$
Vendor Printing Inc. Vendor Printing Co.
Totals
0.78
$
$
6.39
$
12.82
-
$
-
$
$
-
$
-
0%
$
0%
$
0% $
700.00
$
120.00
0.78
#DIV/0!
$
$
6.39
#DIV/0!
$
(6.39)
$
12.82
#DIV/0!
$
(12.82)
50.00
$
50.00
#DIV/0!
$
(50.00)
5.00
$
5.00
#DIV/0!
$
(5.00)
$
117.45
$
117.45
#DIV/0!
$
(117.45)
$
126.03
$
126.03
#DIV/0!
$
(126.03)
-
$
51.23
$
51.23
#DIV/0!
$
(51.23)
-
$
18.60
$
18.60
#DIV/0!
$
(18.60)
$
591.30
$
-
$
820.00
$
203.00
$
-
$
388.30
(0.78)
#DIV/0! 72% $
228.70
Note Any Outstanding Invoices Billed to Date on this PO Number
Invoice #
Net Amount
Date
PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP TOTAL
$
FOR CASE USE ONLY
Invoice #:
CEDAR AVENUE SERVICE CENTER 10620 CEDAR AVENUE CLEVELAND, OHIO 44106-7228 Email:
[email protected] Phone: 216-368-6907 Fax: 216-368-0765 Web: www.case.edu.construction
Approved for Payment: X
Date: PO#:
$
388.30
Reimbursables Guidelines Category Communications - Postage/Delivery Communications - Telephone Consultant Fees In-house Reproduction & Printing Travel & Lodging Vendor Reproduction & Printing
Sample Charges USPS, FedEx, Courier Service long-distance charges Consultants' fees and reimbursables (travel expenses, copies, etc.) xerox copies, in-house drawing copies airfare, hotel, taxis, rental cars, parking, mileage (Travel Agent fees excluded) Lakeside Blueprints, copy services
Please also note:
Reimbursable mileage shall be expensed in accordance with the current IRS Standard Business Mileage Rate Reimbursable meals shall not include alcoholic beverages. As a guideline for reasonable reimbursement for meals, please reference IRS Guidelines for meals ($10 breakfast, $15 lunch, and $26 dinner for the Cleveland area). All itemized meal 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 itemized receipts must be provided as back-up documentation. Supporting documentation for all reimbursable costs is required for reimbursement.
