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

Contact persons name:

Phone number:
Fax number:
Tax ID:
E-mail:
Service Category

Detail

Project Information

$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Previous
Application

Contract Information
Original Contract

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

Amendments

Total Completed to
Date

This Period

%
Complete

Balance to Finish

Revised Contract Amt

Predesign Services

###
###
###

$
$
$

$
$
$

#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

Basic Services

Additional Services

$
$
$
$
$
$
$
$
$
$
Totals

###

$0.00 $

Note Any Outstanding Invoices Billed to Date on this PO Number

Invoice #
Net Amount
Date

TOTAL

Contractual Billing Rates

Position
Principal
Project Architect
Architect
Senior Engineer
Engineer
Intern
Administrator

$0.00

$0.00 $

Rate/Hr

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

FOR CASE USE ONLY

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

Invoice #:
Approved for Payment:
X

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

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

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

Detail

Project Information

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

Contract Information
Original Contract

Amendments

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

Total Completed to
Date

This Period

%
Complete

Balance to Finish

Revised Contract Amt

Predesign Services
Existing Conditions Survey
CM Related Services

54% $
11% $
0%

6,000.00
1,200.00

$
$
$

6,000.00 $
1,200.00 $
-

5% $
14% $
16% $
0%

600.00
1,500.00
1,800.00

$
$
$
$
$
$
$

850.00
1,000.00

$
$

50.00 $
200.00 $
$

900.00
1,200.00
-

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

5,100.00
-

600.00
1,500.00
1,800.00
-

350.00 $
$
$
$

350.00
-

58%
0%
0%
#DIV/0!

250.00
1,500.00
1,800.00
-

500.00
100.00
-

$
$

500.00 $
100.00 $
$

500.00
100.00
-

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

Basic Services
Schematic Design
Design Development
Construction Documents

$
$
$
$

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

Wireless Survey

G506 Amend #2 (6/21/07)

Structural Study

$
$

500.00
100.00

$
$
$
$
$
$
$

Totals

100% $

11,100.00 $

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

600.00

Contractual Billing Rates

Position
Principal
Project Architect
Architect
Senior Engineer
Engineer
Intern
Administrator

$1,350.00

11,700.00 $

$
$
$
$
$
$
$

1,850.00

1,200.00

3,050.00

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

$
$
$
$
$
$
$

26% $

8,650.00

Rate/Hr

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

FOR CASE USE ONLY

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

Invoice #:
Approved for Payment:
X

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

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

Contact persons name:

Phone number:
Fax number:
Tax ID:
E-mail:
Service Category

Detail/Vendor

Cost

Date

Project Information

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

Contract Information
Original Contract

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

Previous Application

Total Completed to
Date

This Period

%
Complete

Balance to Finish

Revised Contract
Amt

Amendments

Reimbursables

Totals

#DIV/0! $

###

#DIV/0! $

###

#DIV/0! $

###

#DIV/0! $

###

#DIV/0! $

###

#DIV/0! $

###

#DIV/0! $

###

#DIV/0! $

###

#DIV/0! $

###

#DIV/0! $

#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 #:
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

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

Detail/Vendor

Cost

Date

Contract Information
Original Contract

Amendments

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

Total Completed to
Date

This Period

%
Complete

Balance to Finish

Revised Contract
Amt

Reimbursables

CommunicationsPostage/Delivery

Consultant Fees
In-house Reproduction &
Printing
Travel & Lodging

Vendor Reproduction &

Printing

USPS

0.78

7/2/2010

0.78

0.78

#DIV/0! $

(0.78)

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)

Structural Survey Eng

50.00

7/27/2010

0%

50.00

50.00

#DIV/0! $

(50.00)

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)

Doe, Jane

126.03

7/8/2010

0%

126.03

126.03

#DIV/0! $

(126.03)

Vendor Printing Inc.

51.23

7/8/2010

0%

51.23

51.23

#DIV/0! $

(51.23)

Vendor Printing Co.

18.60

7/26/2010

0%

18.60

18.60

#DIV/0! $

(18.60)

Totals

388.30

0% $

700.00 $

120.00

820.00

203.00

388.30

#DIV/0!
$

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

Approved for Payment:

X

Date:
PO#:

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.