Contractor Invoice Template Excel 40108

197x Filetype XLSX File size 0.04 MB Source: dlnreng.hawaii.gov

File: Contractor Invoice Template Excel 40108 | Engineering Invoice

sheet 1 invoice state of hawaii department of land and natural resources engineering division payment no 1 progress invoice for the work performed from 010121 to 063021 date 070521 contractor ...

Filetype Excel XLSX | Posted on 14 Aug 2022 | 3 years ago

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Partial file snippet.

Sheet 1: Invoice

	
	
	
	
	
	
	
	
	
	
	
	
		STATE OF HAWAII
		

		

	
	
		DEPARTMENT OF LAND AND NATURAL RESOURCES
		

		

	
	
		ENGINEERING DIVISION
		

		

	
	
		

		

		

		

		

		

		

		Payment No.
		1
		

		

	
	
		PROGRESS INVOICE
		

		

	
	
		FOR THE WORK PERFORMED FROM
		01/01/21
		TO
		06/30/21
		

		

		

		

	
	
		

		

		

		

		

		

		

		

		Date
		07/05/21
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		CONTRACTOR
		AE Consultant
		CONTRACT NO.
		60000
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		ADDRESS
		100 One Street
		JOB NO.
		J00XX00A
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		Honolulu, Hawaii 96813
		PO/FINAL/No Retainage
		No
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		PROJECT TITLE
		Test Reservoir Project
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		CONTRACT
		WORK ACCOMPLISHED
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		Original Contract Amount
		

		

		

		 $50,000.00 
		Completed to Date
		

		9%
		$
		4,299.75
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		SUPPLEMENTAL CONTRACTS & CHANGE ORDERS
		Retained
		

		5.0%
		$
		214.99
		

		$1,250.00
	
	
		

		

		

		

		

		(5% max up to 50% of Contract Amount)
		

		

		

		5.0%
	
	
		Total Additions
		 $-   
		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		Amount Subject to Payment
		

		

		

		

		

	
	
		Total Deductions
		 $-   
		

		$
		4,084.76
		

		

	
	
		

		

		

		

		

		Previous Payments to Date
		

		

		

		

		

	
	
		Adjusted Contract Amount
		

		 $-   
		$
		
		Amount Subject to Payment from previous invoice 
		10.00
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		Payment Now Due
		

		

		$
		4,074.76
		

		

	
	
		Contract Amount as Amended
		

		

		

		 $50,000.00 
		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		Remarks:
		none
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		none
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		none
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		I certify that the above bill is correct and just and that payment thereof has not been received.
		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		AE Consultant
		

		

	
	
		

		

		

		

		

		

		Name of Contractor
		

		

	
	
		

		

		

		

		

		Signed By:
		

		

		

	
	
		

		

		

		

		

		

		

		

		

		

		

		

		

	
	
		

		

		

		

		

		

		John Doe, President
		

		

	
	
		For DLNR use only:
		

		

		

		

		

		(Typed Name and Title)
		

		

	
	
		GOODS/SERVICES REC'D IN SATISFACTORY CONDITION
		

		For DLNR use only:
		

		

		

		

		

		

		

	
	
		Signature
		Date: 
		

		This is to certify that this is an electronically transmitted invoice that has not been previously paid and will not be presented for payment again.
		

		

	
	
		

		Initial
		Date
		

		

		

	
	
		Invoice Rec'd
		

		

		

		Approved:
		

		

		

		

		

	
	
		OK to Pay
		

		

		

		
		DLNR:
DLNR PM/DM to approve & sign
		

		/
		

		

		

		

	
	
		Circle                                                                 PARTIAL                      FINAL
		

		Signature
		

		Date
		

		

	



Sheet 2: Recap Sheet

	
	
	
	
	
	
	
	
		

		

		FOR THE PERIOD OF:
		01/01/21
		

		

	
	
		 DEPARTMENT OF LAND AND NATURAL RESOURCES 
		 TO 
		06/30/21
		

		

	
	
		

		RECAP SHEET
		TO ACCOMPANY PAYMENT NO.:
		

		

	
	
		

		

		

		1
		

		

	
	
		Project:
		Test Reservoir Project
		

		

	
	
		

		

		

		

	
	
		ITEM
		DESCRIPTION
		CONTRACT AMOUNT
		COMPLETED TO DATE
		

		

	
	
		%
		AMOUNT
		

		

	
	
		1
		Coordination
		 $17,199.00 
		25%
		 $4,299.75 
		

		

	
	
		2
		Lidar Mapping (ATA)
		 $5,883.00 
		0%
		 $-   
		

		

	
	
		3
		Lidar Drone Vendor Fee
		 $9,668.00 
		0%
		 $-   
		

		

	
	
		4
		Boundary Survey
		 $17,250.00 
		0%
		 $-   
		

		

	
	
		5
		Final Submittal
		 $-   
		100%
		 $-   
		

		

	
	
		6
		

		 $-   
		0%
		 $-   
		

		

	
	
		7
		

		 $-   
		

		 $-   
		

		

	
	
		8
		

		

		

		 $-   
		

		

	
	
		9
		

		

		

		 $-   
		

		

	
	
		10
		

		

		

		 $-   
		

		

	
	
		11
		

		

		

		 $-   
		

		

	
	
		12
		

		

		

		 $-   
		

		

	
	
		13
		

		

		

		 $-   
		

		

	
	
		14
		

		

		

		 $-   
		

		

	
	
		15
		

		

		

		 $-   
		

		

	
	
		16
		

		

		

		 $-   
		

		

	
	
		17
		

		

		

		 $-   
		

		

	
	
		18
		

		

		

		 $-   
		

		

	
	
		19
		

		

		

		 $-   
		

		

	
	
		20
		Supplemental Contract 1
		

		

		 $-   
		

		
	DLNR:
sum of supplements, additional changes, etc. will carry over to invoice
	0.00
	
	
		21
		Landscape Redesign
		 $-   
		0%
		 $-   
		

		

	
	
		22
		Work due to flood
		 $-   
		

		 $-   
		

		

	
	
		23
		Supplemental Contract 2
		

		

		 $-   
		

		
	DLNR:
sum of supplements, additional changes, etc. will carry over to invoice
	0.00
	
	
		24
		Item 4 taken out of contract
		 $-   
		100%
		 $-   
		

		

	
	
		25
		Item 3 Part taken out of contract
		 $-   
		100%
		 $-   
		

		

	
	
		26
		

		

		

		 $-   
		

		

	
	
		27
		

		

		

		 $-   
		

		

	
	
		28
		

		

		

		 $-   
		

		

	
	
		29
		

		

		

		 $-   
		

		

	
	
		30
		

		

		

		 $-   
		

		

	
	
		

		TOTALS
		 $50,000.00 
		9%
		 $4,299.75

The words contained in this file might help you see if this file matches what you are looking for:

...Sheet invoice state of hawaii department land and natural resources engineering division payment no progress for the work performed from to date contractor ae consultant contract address one street job jxxa honolulu pofinalno retainage project title test reservoir accomplished original amount completed supplemental contracts amp change orders retained max up total additions subject deductions previous payments adjusted now due as amended remarks none i certify that above bill is correct just thereof has not been received name signed by john doe president dlnr use only typed goodsservices rec d in satisfactory condition signature this an electronically transmitted previously paid will be presented again initial approved ok pay pmdm approve sign circle partial final recap period accompany item description coordination lidar mapping ata drone vendor fee boundary survey submittal sum supplements additional changes etc carry over landscape redesign flood taken out part totals...

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		FOR THE PERIOD OF:		01/01/21
DEPARTMENT OF LAND AND NATURAL RESOURCES		TO		06/30/21
	RECAP SHEET	TO ACCOMPANY PAYMENT NO.:
			1
Project:	Test Reservoir Project

ITEM	DESCRIPTION	CONTRACT AMOUNT	COMPLETED TO DATE
ITEM	DESCRIPTION	CONTRACT AMOUNT	%	AMOUNT
1	Coordination	$17,199.00	25%	$4,299.75
2	Lidar Mapping (ATA)	$5,883.00	0%	$-
3	Lidar Drone Vendor Fee	$9,668.00	0%	$-
4	Boundary Survey	$17,250.00	0%	$-
5	Final Submittal	$-	100%	$-
6		$-	0%	$-
7		$-		$-
8				$-
9				$-
10				$-
11				$-
12				$-
13				$-
14				$-
15				$-
16				$-
17				$-
18				$-
19				$-
20	Supplemental Contract 1			$-	DLNR: sum of supplements, additional changes, etc. will carry over to invoice 0.00
21	Landscape Redesign	$-	0%	$-
22	Work due to flood	$-		$-
23	Supplemental Contract 2			$-	DLNR: sum of supplements, additional changes, etc. will carry over to invoice 0.00
24	Item 4 taken out of contract	$-	100%	$-
25	Item 3 Part taken out of contract	$-	100%	$-
26				$-
27				$-
28				$-
29				$-
30				$-
	TOTALS	$50,000.00	9%	$4,299.75

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