Sample Invoice Template

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XYZ Company
SAMPLE INVOICE
168 Electric Drive
Elyria, Ohio 44035
Invoice Date: xxxxxxx
Phone: (XXX) XXX-XXXX
Invoice Number: xxxxxxx
Tax ID Number:________
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
Cumulative to-
Cost Element *
Current
date
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
Cost Sharing @ x% or:
($ 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

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