Fillable Printable Sample Invoice

Sample Invoice

XYZ Company SAMPLE INVOICE

168 Electric Drive

Elyria, Ohio 44035 Invoice Date: xxxxxxx

Phone: (XXX) XXX-XXXX Invoice Number: xxxxxxx

Tax ID Number:________

www.eprisamplecompany.com

EPRI Agreement Number : EP-Pxxxxxx / Cxxxxx

To: EPRI

CCL: $ xxx,xxx Attn: Accounts Payable Department

For costs incurred from _____ through ______ P.O. Box 10412

EPRI Project Manager: __________________ Palo Alto, Ca 94303-0813

Cost Element * Current

Direct Labor ** $x,xxx $ x,xxx

Direct Material

Subcontracted xxx

Interdivisional

Equipment Rental / Lease

Purchased Special Equip

Consultants

Travel xxx

Other Direct Costs

Total Direct Costs $ x,xxx $ x,xxx

Overhead @ x % of ____________

Total Direct Costs & Overhead $ x,xxx $ x,xxx

General & Administrative (G&A) @ x%

Total Cost $ x,xxx $ x,xxx

($ x,xxx ) ($ x,xxx )

Fee @ x% $ xxx $ xxx

Total Invoice $ x,xxx $ x,xxx

Less Retention ( xx%)

Amount Due And Payable Now $ x,xxx $ xx,xxx

* The cost elements as presented on an invoice should be consistent with the contract budget

** T&M contracts should list direct hours and billing rates by individual or by labor grade

Cumulative to-

date

Cost Sharing @ x% or: