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 DESIGN FILING NO:
Office of Business & Finance CONST FILING NO:
OTHER:

ARCHITECTURAL & ENGINEERING SERVICES FEE INVOICE

Architect Information Invoice Information Project Information
Firm name: Invoice #: Project Name:
Address: Invoice date: CASE PO#:
For the period ending: CASE Project #: (CIP)
Original Agreement $0.00 Building/Location:
Contact persons name: Amended to Date $0.00 Case Project Manager:
Phone number: Revised Contract $0.00
Fax number: Total Completed $0.00
Tax ID: Previous Billings $0.00
E-mail: Net Amount Due $0.00

Previous Total Completed to %

Service Category Detail Contract Information Application This Period Date Complete Balance to Finish

Original Contract Amendments Revised Contract Amt

Predesign Services
### $ - $ - #DIV/0! $ -
### $ - $ - #DIV/0! $ -
### $ - $ - #DIV/0! $ -
Basic Services
### $ - $ - #DIV/0! $ -
### $ - $ - #DIV/0! $ -
### $ - $ - #DIV/0! $ -
### $ - $ - #DIV/0! $ -
Additional Services
$ - $ - #DIV/0! $ -
$ - $ - #DIV/0! $ -
$ - $ - #DIV/0! $ -
$ - $ - #DIV/0! $ -
$ - $ - #DIV/0! $ -
$ - $ - #DIV/0! $ -
$ - $ - #DIV/0! $ -
$ - $ - #DIV/0! $ -
$ - $ - #DIV/0! $ -
$ - $ - #DIV/0! $ -
Totals ### $0.00 $ - $0.00 $ - $ - $ - #DIV/0! $0.00
Note Any Outstanding Invoices Billed to Date on this PO Number Contractual Billing Rates
Invoice # Net Amount Date Position Rate/Hr
Principal $0.00
Project Architect $0.00
Architect $0.00
Senior Engineer $0.00
Engineer $0.00
Intern $0.00
TOTAL $0.00 Administrator $0.00
FOR CASE USE ONLY

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

Approved for Payment:

Date:

PO#: $ -
Cedar Avenue Service Center
10620 Cedar Ave / Cleveland OH 44106-7228
E-mail: const-admin@case.edu
Phone 216-368-6907
 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 DESIGN FILING NO:
Office of Business & Finance CONST FILING NO:
OTHER:

ARCHITECTURAL & ENGINEERING SERVICES FEE INVOICE

Architect Information Invoice Information Project Information
Firm name: Our Firm Invoice #: 001234 Project Name:
Address: 1234 Main Street Invoice date: 8/1/07 CASE PO#:
Suite 100A For the period ending: 7/31/07 CASE Project #: (CIP)
Anytown, OH 44000 Original Agreement $11,100.00 Building/Location:
Contact persons name: John Smith Amended to Date $600.00 Case Project Manager:
Phone number: 216-368-6907 Revised Contract $11,700.00
Fax number: 216-368-0765 Total Completed $3,050.00
Tax ID: XX-XXXXXXXX Previous Billings $1,850.00
E-mail: smith@ourfirm.com Net Amount Due $1,200.00

Previous Total Completed to %

Service Category Detail Contract Information Application This Period Date Complete Balance to Finish

Original Contract Amendments Revised Contract Amt

Predesign Services
Existing Conditions Survey 54% $ 6,000.00 $ 6,000.00 $ 850.00 $ 50.00 $ 900.00 15% $ 5,100.00
CM Related Services 11% $ 1,200.00 $ 1,200.00 $ 1,000.00 $ 200.00 $ 1,200.00 100% $ -
0% $ - $ - #DIV/0! $ -
Basic Services
Schematic Design 5% $ 600.00 $ 600.00 $ 350.00 $ 350.00 58% $ 250.00
Design Development 14% $ 1,500.00 $ 1,500.00 $ - 0% $ 1,500.00
Construction Documents 16% $ 1,800.00 $ 1,800.00 $ - 0% $ 1,800.00
0% $ - $ - #DIV/0! $ -
Additional Services
G506 Amend #1 (5/31/07) Wireless Survey $ 500.00 $ 500.00 $ 500.00 $ 500.00 100% $ -
G506 Amend #2 (6/21/07) Structural Study $ 100.00 $ 100.00 $ 100.00 $ 100.00 100% $ -
$ - $ - #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 $ 1,200.00 $ 3,050.00 26% $ 8,650.00
Note Any Outstanding Invoices Billed to Date on this PO Number Contractual Billing Rates
Invoice # Net Amount Date Position Rate/Hr
1232 $850.00 05/15/07 Principal $0.00
1233 $500.00 05/15/07 Project Architect $0.00
Architect $0.00
Senior Engineer $0.00
Engineer $0.00
Intern $0.00
TOTAL $1,350.00 Administrator $0.00
FOR CASE USE ONLY

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

Approved for Payment:

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
 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 DESIGN FILING NO:
Office of Business & Finance CONST FILING NO:
OTHER:

ARCHITECTURAL & ENGINEERING SERVICES REIMBURSABLES INVOICE

Architect Information Invoice Information Project Information
Firm name: Invoice #: Project Name:
Address: Invoice date: CASE PO#:
For the period ending: CASE Project #: (CIP)
Original Agreement $0.00 Building/Location:
Contact persons name: Amended to Date $0.00 Case Project Manager:
Phone number: Revised Contract $0.00
Fax number: Total Completed $0.00
Tax ID: Previous Billings $0.00
E-mail: Net Amount Due $0.00

Total Completed to %
Service Category Detail/Vendor Cost Date Contract Information Previous Application This Period Date Complete Balance to Finish
Revised Contract
Original Contract Amendments Amt
Reimbursables

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

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

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

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

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

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

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

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

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

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

Totals $ - ### $ - $ - $ - $ - $ - $ - #DIV/0! $ -

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

PO#: $ -
 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 DESIGN FILING NO:
Office of Business & Finance CONST FILING NO:
OTHER:

ARCHITECTURAL & ENGINEERING SERVICES REIMBURSABLES INVOICE

Architect Information Invoice Information Project Information
Firm name: Our Firm Invoice #: 1234 Project Name: The Project
Address: 1234 Main Street Invoice date: 8/12/2010 CASE PO#: K000001234
Suite 100A For the period ending: 7/30/2010 CASE Project #: (CIP) XXXXXX
Anytown, Ohio 44000 Original Agreement $700.00 Building/Location: Building Name/Address
Contact persons name: John Smith Amended to Date $120.00 Case Project Manager: Nick Christie/Rick Pruden
Phone number: 216-368-6907 Revised Contract $820.00
Fax number: 216-368-0765 Total Completed $591.30
Tax ID: XX-XXXXXXXX Previous Billings $203.00
E-mail: smith@ourfirm.com Net Amount Due $388.30

Total Completed to %
Service Category Detail/Vendor Cost Date Contract Information Previous Application This Period Date Complete Balance to Finish
Revised Contract
Original Contract Amendments Amt
Reimbursables

USPS $ 0.78 7/2/2010 $ - $ 0.78 $ 0.78 #DIV/0! $ (0.78)

Communications-
Postage/Delivery FedEx $ 6.39 7/13/2010 0% $ - $ 6.39 $ 6.39 #DIV/0! $ (6.39)

FedEx $ 12.82 7/25/2010 0% $ - $ 12.82 $ 12.82 #DIV/0! $ (12.82)

Consultant Fees Structural Survey Eng $ 50.00 7/27/2010 0% $ - $ 50.00 $ 50.00 #DIV/0! $ (50.00)
In-house Reproduction &
Printing 100 copies @ .05/sheet $ 5.00 7/15/2010 0% $ - $ 5.00 $ 5.00 #DIV/0! $ (5.00)

Smith, John $ 117.45 7/8/2010 0% $ - $ 117.45 $ 117.45 #DIV/0! $ (117.45)

Travel & Lodging
Doe, Jane $ 126.03 7/8/2010 0% $ - $ 126.03 $ 126.03 #DIV/0! $ (126.03)

Vendor Reproduction & Vendor Printing Inc. $ 51.23 7/8/2010 0% $ - $ 51.23 $ 51.23 #DIV/0! $ (51.23)
Printing
Vendor Printing Co. $ 18.60 7/26/2010 0% $ - $ 18.60 $ 18.60 #DIV/0! $ (18.60)

$ - $ - #DIV/0!

Totals $ 388.30 0% $ 700.00 $ 120.00 $ 820.00 $ 203.00 $ 388.30 $ 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 #: CEDAR AVENUE SERVICE CENTER

10620 CEDAR AVENUE
Approved for Payment: CLEVELAND, OHIO 44106-7228
Email: const-admin@case.edu
X Phone: 216-368-6907
Fax: 216-368-0765
Date: Web: www.case.edu.construction

PO#: $ 388.30

Category
Communications - Postage/Delivery
Communications - Telephone
Consultant Fees
In-house Reproduction & Printing
Travel & Lodging
Vendor Reproduction & Printing
Reimbursables Guidelines
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.