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<br />. <br /> <br />. <br /> <br /> <br />Client: Urban Drainage <br />Page: 1 of2 <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />Sample Invoice with Change Order breakdown <br /> <br />XYZ COMPANY <br /> <br />1111 Platte River Drive <br />Denver, CO 80211 <br />ph: (303) 555-5555 (0: (303) 555-5151 <br /> <br />South Platte River Program <br />Routine Maintenance Contract ##94-03.10 <br /> <br />MONTHLY INVOICE <br />May 26. 1994 to June 25.1994 <br /> <br />CI.) Debris: <br />"'" 15,000 I,f. x SO,07oo = SI.050,00 <br /> (pages 5 - 15) <br /> Mowing: Panern A 85,904 If, x SO.0100 = S 859,04 <br /> (All pages) <br /> Pattern B 92.400 s,f. x SO,0050 = S 462.00 <br /> (All pages) <br /> Pruning 31,530 I.f. x SO, 1000 = S3, 1 53.00 <br /> (All pages) <br /> TOTAL ROUTINE S5,524.04 <br /> <br />Change Order # 2 (See anached sheet) <br /> <br />S 834,00 <br /> <br />TOTAL CHANGE ORDERS <br /> <br />S 834.00 <br /> <br />UTOTAL INVOICE" <br /> <br />$6,358.04 <br /> <br />~ ~ <br /> <br /> <br />XYZ COMPANY <br /> <br />1111 Platte River Drive <br />Denver, CO 80211 <br />ph: (303) SS5-SSSS (0: (303) SS5-S1S1 <br /> <br />South Platte River Program <br />Routine Maintenance Contract ##94-03.10 <br /> <br />CHANGE ORDER #2 BREAKDOWN <br /> <br />. <br /> <br />. <br /> <br />Invoice # 999 <br />Date: 6125/94 <br /> <br />Client: Urban Drainage Invoice .: 999 <br />Page 2 of 2 Dale: 6/)/94 <br />RE: Remove and dispose pile of tiRS from area on EasI Bank just south of 1-70. <br />Remove and dispose Ihree downed t=s from East Bank north of 81h Ave, <br />Revegetate small pan of bank North ofSSth Ave, <br /> <br />LABOR <br /> <br />Labor <br />Unskilled <br />rator <br />Su !Visor <br /> <br />Hours <br />23 <br />5 <br />2 <br /> <br />Pa I <br />S7,00 <br />SIS,OO <br />SI8.00 <br />Toea! Labor <br /> <br />... Attach aaual workscbedules if available:. <br /> <br />E UIPMENT <br /> <br />E ui men. <br />Piclru <br />Chainsaw <br />Back hoe <br />Trailer <br /> <br />Hours <br />23 <br />8 <br />5 <br />10 <br /> <br />Pav rate <br />S5,00 <br />$4.00 <br />S20,00 <br />S5,00 <br />Toea! Equipment <br /> <br />Material <br />Seed <br /> <br /> <br />DUMP FEES <br />Oeseri lion of Malerial Amount cubic \'ards Pri r cubic \1trd <br />Tires and llces 30 c,v, $5,00 <br /> <br />TOTAL COST <br /> <br />Labor C <br />S161.00 <br />$75,00 <br />S36,00 <br />5272.00 <br /> <br />i menlC <br />SJl500 <br />532,00 <br />5100,00 <br />S5O,00 <br />5297.00 <br /> <br />Malerial C <br />SIIS.OO <br />511S.00 <br /> <br />TOTAL DUMP FEES <br />51SO,11O <br /> <br />$834.00 <br /> <br />NOle: Include Dump Fce and Material receipls, <br />This is a sample for lhe change order work billed on an invoice, This (onnat need not be (ollowed e",ctly. <br />""tthe 'ruIlor componcnts o( Ihese sample .ubminals must be present. Please \IIcludc \\ork.hcelS or <br />schedules when possible, <br />