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PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP

FOR CASE USE ONLY


PROJECT NO: PROJECT NAME: CASE MGMT FILING NO:

Campus Planning and Facilities Management Office of Business & Finance

DESIGN FILING NO: CONST FILING NO: OTHER:

ARCHITECTURAL & ENGINEERING SERVICES FEE INVOICE


Architect Information Firm name: Address: Invoice Information Invoice #: Invoice date: For the period ending: Original Agreement Amended to Date Revised Contract Total Completed Previous Billings Net Amount Due
Contract Information
Original Contract Amendments Revised Contract Amt

Project Information
Project Name: CASE PO#: CASE Project #: (CIP) Building/Location: Case Project Manager:

Contact persons name: Phone number: Fax number: Tax ID: E-mail:
Service Category Predesign Services Detail

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00


Previous Application This Period

Total Completed to Date

% Complete

Balance to Finish

##### ##### #####


Basic Services

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

$0.00 $

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $

$0.00

##### ##### ##### #####


Additional Services

Totals

#####

$0.00 $

Rate/Hr

Note Any Outstanding Invoices Billed to Date on this PO Number Invoice # Net Amount Date

TOTAL

$0.00 FOR CASE USE ONLY

Contractual Billing Rates Position Principal Project Architect Architect Senior Engineer Engineer Intern Administrator

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Invoice #: Approved for Payment:


X

PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP

Date: PO#:

Cedar Avenue Service Center 10620 Cedar Ave / Cleveland OH 44106-7228 E-mail: const-admin@case.edu Phone 216-368-6907 Fax 216-368-0765 Web www.case.edu/construction

PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP


FOR CASE USE ONLY
PROJECT NO: PROJECT NAME: CASE MGMT FILING NO:

Campus Planning and Facilities Management Office of Business & Finance

DESIGN FILING NO: CONST FILING NO: OTHER:

ARCHITECTURAL & ENGINEERING SERVICES FEE INVOICE


Architect Information Firm name: Our Firm Address: 1234 Main Street Suite 100A Anytown, OH 44000 Contact persons name: John Smith Phone number: 216-368-6907 Fax number: 216-368-0765 Tax ID: XX-XXXXXXXX E-mail: smith@ourfirm.com
Service Category Predesign Services
Existing Conditions Survey CM Related Services

Invoice Information Invoice #: 001234 Invoice date: 8/1/07 For the period ending: 7/31/07 Original Agreement Amended to Date Revised Contract Total Completed Previous Billings Net Amount Due
Contract Information
Original Contract Amendments Revised Contract Amt

Project Information
Project Name: CASE PO#: CASE Project #: (CIP) Building/Location: Case Project Manager:

$11,100.00 $600.00 $11,700.00 $3,050.00 $1,850.00 $1,200.00


Previous Application This Period

Detail

Total Completed to Date

% Complete

Balance to Finish

54% $ 11% $ 0% 5% $ 14% $ 16% $ 0%


Wireless Survey Structural Study

6,000.00 1,200.00 600.00 1,500.00 1,800.00 $ $ 500.00 100.00

$ $ $ $ $ $ $ $ $ $
$ $ $ $ $ $ $

6,000.00 1,200.00 600.00 1,500.00 1,800.00 500.00 100.00 -

$ $

850.00 1,000.00

$ $ $

50.00 200.00 350.00

$ $ $ $ $ $ $ $ $ $
$ $ $ $ $ $ $

900.00 1,200.00 350.00 500.00 100.00 -

15% $ 100% $ #DIV/0! $ 58% 0% 0% #DIV/0! $ $ $ $

5,100.00 250.00 1,500.00 1,800.00 -

Basic Services
Schematic Design Design Development Construction Documents

Additional Services
G506 Amend #1 (5/31/07) G506 Amend #2 (6/21/07)

$ $

500.00 100.00

100% $ 100% $ #DIV/0! $


#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! $ $ $ $ $ $ $

Totals

100% $

11,100.00

600.00

11,700.00

1,850.00
Rate/Hr

1,200.00

3,050.00

26% $

8,650.00

Note Any Outstanding Invoices Billed to Date on this PO Number Invoice # Net Amount Date 1232 $850.00 05/15/07 1233 $500.00 05/15/07

TOTAL

$1,350.00 FOR CASE USE ONLY

Contractual Billing Rates Position Principal Project Architect Architect Senior Engineer Engineer Intern Administrator

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Invoice #: Approved for Payment:


X

PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP

Date: PO#:

1,200.00

Cedar Avenue Service Center 10620 Cedar Ave / Cleveland OH 44106-7228 E-mail: const-admin@case.edu Phone 216-368-6907 Fax 216-368-0765 Web www.case.edu/construction

PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP


FOR CASE USE ONLY
PROJECT NO: PROJECT NAME: CASE MGMT FILING NO:

Campus Planning and Facilities Management Office of Business & Finance

DESIGN FILING NO: CONST FILING NO: OTHER:

ARCHITECTURAL & ENGINEERING SERVICES REIMBURSABLES INVOICE


Architect Information Firm name: Address: Invoice Information Invoice #: Invoice date: For the period ending: Original Agreement Amended to Date Revised Contract Total Completed Previous Billings Net Amount Due
Detail/Vendor Cost Date Original Contract Reimbursables Contract Information Amendments Revised Contract Amt

Project Information
Project Name: CASE PO#: CASE Project #: (CIP) Building/Location: Case Project Manager:

Contact persons name: Phone number: Fax number: Tax ID: E-mail:
Service Category

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00


Previous Application This Period

Total Completed to Date

% Complete

Balance to Finish

$ ##### ##### ##### ##### ##### ##### ##### ##### ##### $ $ $ $ $ $ $ $ $ $ $

$ -

$ $ $ $ $ $ $ $ $ $ $

$ $ $ $ $ $ $ $ $ $ $

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

$ $ $ $ $ $ $ $ $ $ $

Totals

##### $

Note Any Outstanding Invoices Billed to Date on this PO Number

Invoice #

Net Amount

Date

PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP


TOTAL $ FOR CASE USE ONLY Invoice #: Approved for Payment:
X

Date: PO#:

CEDAR AVENUE SERVICE CENTER 10620 CEDAR AVENUE CLEVELAND, OHIO 44106-7228 Email: const-admin@case.edu Phone: 216-368-6907 Fax: 216-368-0765 Web: www.case.edu.construction

PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP


FOR CASE USE ONLY
PROJECT NO: PROJECT NAME: CASE MGMT FILING NO:

Campus Planning and Facilities Management Office of Business & Finance

DESIGN FILING NO: CONST FILING NO: OTHER:

ARCHITECTURAL & ENGINEERING SERVICES REIMBURSABLES INVOICE


Architect Information Firm name: Our Firm Address: 1234 Main Street Suite 100A Anytown, Ohio 44000 Contact persons name: John Smith Phone number: 216-368-6907 Fax number: 216-368-0765 Tax ID: XX-XXXXXXXX E-mail: smith@ourfirm.com
Service Category Detail/Vendor Cost Date Original Contract Reimbursables
USPS CommunicationsPostage/Delivery FedEx FedEx Consultant Fees In-house Reproduction & Printing Travel & Lodging Structural Survey Eng 100 copies @ .05/sheet Smith, John Doe, Jane Vendor Reproduction & Printing Vendor Printing Inc. Vendor Printing Co.
$ $ $ $ $ $ $ $ $ 0.78 6.39 12.82 50.00 5.00 117.45 126.03 51.23 18.60 7/2/2010 7/13/2010 7/25/2010 7/27/2010 7/15/2010 7/8/2010 7/8/2010 7/8/2010 7/26/2010

Invoice Information Invoice #: 1234 Invoice date: 8/12/2010 For the period ending: 7/30/2010 Original Agreement Amended to Date Revised Contract Total Completed Previous Billings Net Amount Due
Contract Information Amendments Revised Contract Amt

Project Information
Project Name: The Project CASE PO#: K000001234 CASE Project #: (CIP) XXXXXX Building/Location: Building Name/Address Case Project Manager: Nick Christie/Rick Pruden

$700.00 $120.00 $820.00 $591.30 $203.00 $388.30


Previous Application This Period

Total Completed to Date

% Complete

Balance to Finish

$ 0% 0% 0% 0% 0% 0% 0% 0% $ $ $ $ $ $ $ $ $

820.00 $ 203.00

$ $ $ $ $ $ $ $ $ $ $

0.78 6.39 12.82 50.00 5.00 117.45 126.03 51.23 18.60 388.30

$ $ $ $ $ $ $ $ $

0.78 6.39 12.82 50.00 5.00 117.45 126.03 51.23 18.60

#DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!

$ $ $ $ $ $ $ $ $

(0.78) (6.39) (12.82) (50.00) (5.00) (117.45) (126.03) (51.23) (18.60)

Totals

388.30

0% $

700.00

120.00

591.30

72% $

228.70

Note Any Outstanding Invoices Billed to Date on this PO Number

Invoice #

Net Amount

Date

PLEASE ATTACH YOUR ORIGINAL INVOICE ON COMPANY LETTERHEAD AS BACK-UP


TOTAL $ FOR CASE USE ONLY Invoice #: Approved for Payment:
X

Date: PO#:

CEDAR AVENUE SERVICE CENTER 10620 CEDAR AVENUE CLEVELAND, OHIO 44106-7228 Email: const-admin@case.edu Phone: 216-368-6907 Fax: 216-368-0765 Web: www.case.edu.construction

388.30

Reimbursables Guidelines
Category Communications - Postage/Delivery Communications - Telephone Consultant Fees In-house Reproduction & Printing Travel & Lodging Vendor Reproduction & Printing Sample Charges USPS, FedEx, Courier Service long-distance charges Consultants' fees and reimbursables (travel expenses, copies, etc.) xerox copies, in-house drawing copies airfare, hotel, taxis, rental cars, parking, mileage (Travel Agent fees excluded) Lakeside Blueprints, copy services

Please also note: Reimbursable mileage shall be expensed in accordance with the current IRS Standard Business Mileage Rate Reimbursable meals shall not include alcoholic beverages. As a guideline for reasonable reimbursement for meals, please reference IRS Guidelines for meals ($10 breakfast, $15 lunch, and $26 dinner for the Cleveland area). All itemized meal receipts must be included. CWRU does not pay for additional mark-ups on services. Charges listed on the invoice should match precisely with supporting documentation. All original itemized receipts must be provided as back-up documentation. Supporting documentation for all reimbursable costs is required for reimbursement.

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