Invoice Template

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Exhibit "B" - To be used for flll billings to Wallace & Smith Contracto$
TO BE SUBNIITTED BY THE 2OTII OF THE MONTH
Invoice Form
Subcontractors Name:
Invoice #
Phone No:
I4ailing Address:
This invoice oovers work completed tbrough:
Trade
Project Name & Address
Project Amount:
Approved Change Order # 1
ApprwedChange Order#2
Apprwed Change Order # 3
Approved Change Order # 4
Apprwed Change Order # 5
(add sheet if additional C/O's)
Revised Contract Amount
Work Completed to date (_Y')
Less amount previously billed
(including rctention)
Total This Invoice
Less 10% -Retention on this invoice
Amount Ilue This Payment
Subcontractors Release - Conditional
To: The ouner of the real property nnd work of imprwement describd above, its construction lender and
Wallace & Smith Contracton.
The undersigned does heafty release any and all mechanic's lien, stop notice, equitable lien, and labor
and material bond rights against the above described property, for any labor, service, etc., purchased,
acquired or furnished for use on said premises, for work completed throug[ the above date.
This release is CONDITIONAL, and shallbe effective only upon paym€Nrt to the undersigned for the
amount indicated abwe. If payment is by checlq this release is e,ffective only when the check is paid
by the bafk upon which it is drawn.
Date
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BY:
E:rceVMarilyntVord/hfribits f6 cofrracts
Tifle

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