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<br /> <br />GA 0043-23 Everett ST Task Order 1 10 <br /> <br />Category 2: Sensitive information <br />Category 2: For official use only / disclosure permissible by law. <br />Attachment 5: Invoice and Progress Report Example <br />Sound Transit Invoice Form <br /> <br />Invoice No. _____ Dated: _________ <br /> <br />TO: accountspayable@soundtransit.org <br /> <br />Attention: Accounts Payable and Sound Transit Designated Representative <br /> <br />Re: Agreement Title: _______________ (required) <br />Agreement Number: _______________ (required) <br /> Task Order Number ____________ (required) <br />PO Number: _______________ (required) <br /> <br />The City’s authorized representative certifies that Sound Transit’s pro rata share of costs under this invoice <br />is $_______, and is due and payable to the City in accordance with the provisions of the Agreement, and <br />is supported by the attached invoice and supporting documentation. [Identify the elements(s), and the <br />amounts by element, for which the amount due applies] <br /> <br />The City makes the following representations and warranties to Sound Transit in connection with the <br />Invoice: <br />• All work performed to date has been, unless otherwise specifically stated by the City, <br />performed in accordance with the terms and conditions of this Agreement. <br />• The amount specified above has been computed in accordance with, and is due and <br />payable under, the terms and conditions of the Agreement, has not been the subject of any <br />previous invoice (unless disputed or rejected for payment) and is not the subject of any <br />pending invoice from the City. <br /> <br />Any liability of Sound Transit arising from these representations and warranties are governed by the terms <br />and conditions of the Agreement. <br /> <br />City <br />By: __________________________________ Date: _________________ <br /> <br /> <br />