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: Address: Invoice Information Invoice #: Invoice date: For the period ending: Original Agreement Amended to Date Revised Contract Total Completed Previous Billings Net Amount Due
Contract Information
Original Contract Amendments Revised Contract Amt
Project Information
Project Name: CASE PO#: CASE Project #: (CIP) Building/Location: Case Project Manager:
Contact person’s name: Phone number: Fax number: Tax ID: E-mail:
Service Category Predesign Services Detail
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Previous Application This Period
Total Completed to Date
% Complete
Balance to Finish
##### ##### #####
Basic 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!
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $
$0.00
##### ##### ##### #####
Additional Services
Totals
#####
$0.00 $
-
Rate/Hr
$
-
Note Any Outstanding Invoices Billed to Date on this PO Number Invoice # Net Amount Date
TOTAL
$0.00 FOR CASE USE ONLY
Contractual Billing Rates Position Principal Project Architect Architect Senior Engineer Engineer Intern Administrator
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Invoice #: Approved for Payment:
X
PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP
Date: PO#:
$
-
Cedar Avenue Service Center 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 Predesign Services
Existing Conditions Survey CM Related Services
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
Contract Information
Original Contract Amendments Revised Contract Amt
Project Information
Project Name: CASE PO#: CASE Project #: (CIP) Building/Location: Case Project Manager:
$11,100.00 $600.00 $11,700.00 $3,050.00 $1,850.00 $1,200.00
Previous Application This Period
Detail
Total Completed to Date
% Complete
Balance to Finish
54% $ 11% $ 0% 5% $ 14% $ 16% $ 0%
Wireless Survey Structural Study
6,000.00 1,200.00 600.00 1,500.00 1,800.00 $ $ 500.00 100.00
$ $ $ $ $ $ $ $ $ $
$ $ $ $ $ $ $
6,000.00 1,200.00 600.00 1,500.00 1,800.00 500.00 100.00 -
$ $
850.00 1,000.00
$ $ $
50.00 200.00 350.00
$ $ $ $ $ $ $ $ $ $
$ $ $ $ $ $ $
900.00 1,200.00 350.00 500.00 100.00 -
15% $ 100% $ #DIV/0! $ 58% 0% 0% #DIV/0! $ $ $ $
5,100.00 250.00 1,500.00 1,800.00 -
Basic Services
Schematic Design Design Development Construction Documents
Additional Services
G506 Amend #1 (5/31/07) G506 Amend #2 (6/21/07)
$ $
500.00 100.00
100% $ 100% $ #DIV/0! $
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! $ $ $ $ $ $ $
Totals
100% $
11,100.00
$
600.00
$
11,700.00
$
1,850.00
Rate/Hr
$
1,200.00
$
3,050.00
26% $
8,650.00
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
$1,350.00 FOR CASE USE ONLY
Contractual Billing Rates Position Principal Project Architect Architect Senior Engineer Engineer Intern Administrator
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Invoice #: Approved for Payment:
X
PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP
Date: PO#:
$
1,200.00
Cedar Avenue Service Center 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 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
Detail/Vendor Cost Date Original Contract Reimbursables Contract Information Amendments Revised Contract Amt
Project Information
Project Name: CASE PO#: CASE Project #: (CIP) Building/Location: Case Project Manager:
Contact person’s name: Phone number: Fax number: Tax ID: E-mail:
Service Category
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Previous Application This Period
Total Completed to Date
% Complete
Balance to Finish
$ ##### ##### ##### ##### ##### ##### ##### ##### ##### $ $ $ $ $ $ $ $ $ $ $
$ -
$ $ $ $ $ $ $ $ $ $ $
-
$ $ $ $ $ $ $ $ $ $ $
-
#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 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 Original Contract Reimbursables
USPS CommunicationsPostage/Delivery FedEx FedEx Consultant Fees In-house Reproduction & Printing Travel & Lodging Structural Survey Eng 100 copies @ .05/sheet Smith, John Doe, Jane Vendor Reproduction & Printing Vendor Printing Inc. Vendor Printing Co.
$ $ $ $ $ $ $ $ $ 0.78 6.39 12.82 50.00 5.00 117.45 126.03 51.23 18.60 7/2/2010 7/13/2010 7/25/2010 7/27/2010 7/15/2010 7/8/2010 7/8/2010 7/8/2010 7/26/2010
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
Contract Information Amendments Revised Contract Amt
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
$700.00 $120.00 $820.00 $591.30 $203.00 $388.30
Previous Application This Period
Total Completed to Date
% Complete
Balance to Finish
$ 0% 0% 0% 0% 0% 0% 0% 0% $ $ $ $ $ $ $ $ $
820.00 $ 203.00
$ $ $ $ $ $ $ $ $ $ $
0.78 6.39 12.82 50.00 5.00 117.45 126.03 51.23 18.60 388.30
$ $ $ $ $ $ $ $ $
0.78 6.39 12.82 50.00 5.00 117.45 126.03 51.23 18.60
#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
$ $ $ $ $ $ $ $ $
(0.78) (6.39) (12.82) (50.00) (5.00) (117.45) (126.03) (51.23) (18.60)
Totals
$
388.30
0% $
700.00
$
120.00
$
$
591.30
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 #: 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
$
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.