J6 Sample Invoice

Cumulative
Period:
Initial Invoice

Job-to-Date Funding:

Interim/Progress Payment

CLIN 0001AA

$20,000.00

Final Invoice

CLIN 0003AA

$10,000.00

Total

$30,000.00

URS
Order
LI
1

05/01/03 - 06/30/03

CURRENT
DESCRIPTION

U/M

UNIT
PRICE

QTY

CUMULATIVE
AMT

QTY

AMT

ASTO Support, CLIN

0001AA (Cost)
Engineer III

HRS

100

200

Engineer VII

HRS

200

400

$50.00
2

Fee @ 7.0%; CLIN 0001AA

(Fixed Fee)

ODC's / Travel; CLIN 0003AA

(CPNF)

300

$1,500.00

600

$105.00

LOT

Total

$500.00

$2,105.00

$3,000.00
$210.00

$1,000.00

$4,210.00

Subcontractor Certification
I certify that, to the best of my knowledge and belief, the above quantities and amounts are correct and
consistent with the requirements of the subcontract/order. Further, if this is a Cost-Reimbursement or Time-andMaterials invoice, costs have been burdened with the most current Government accepted indirect rates.

Signature and Title of Certifier

Date

PROJECT MANAGEMENT CERTIFICATION (URS USE ONLY)

I certify that, to the best of my knowledge and belief, the above services/products were satisfactorily
performed/delivered.

Signature and Title of Certifier

Date

PR-031-Subcontractor Invoice_02-02-10.doc