CP 3 -- Continued
To constitute a proper invoice, the invoice must include the following information:
SAMPLE
Invoice for Payment of Design Development
Date
: ______________
Invoice #: ______________
Contracting Officer
Office of Facilities Management
Department of Veterans Affairs (VACO)
810 Vermont Avenue, NW
Washington, DC 20420
FOR PROFESSIONAL SERVICES RENDERED TO DATE:
RE: A/E CONTRACT NO. __________________PROJECT NO.____________
STATION _________________________________________________________
Installment for (Month, Year)
A. Contract amount for Design Development
Documents plus related modifications that are
to be paid based upon the percent of completed
work, ________ x _______ percent completed = $ ____________
B. Completed modifications that are only to
be paid for when all work has been completed
and accepted by the Contracting Officer =
$ ___________
TOTAL AMOUNT EARNED
$ ___________
LESS PREVIOUS PAYMENTS
$ ___________
AMOUNT DUE
$ ___________
Payment of the above amount now due is hereby requested.
Payee
(NAME OF A/E
Title_____________________________
Per
(Signature)
NOTE: Reimbursable Items shall be invoiced separately
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