Consultant Certification. I certify that to the best of my knowledge the work as listed above has been completed, represents no duplication of payments, and any and all costs are in compliance with the contract items. _______________________________________________ Consultant Name _______________________________________________ Signature FOR OFFICE USE ONLY Order #: Supplier #: Project ID: Account (LN): Activity: Total: Authorized by & Date: BUREAU APPROVAL. This invoice has been reviewed for accuracy and compliance and is approved for payment. Note any exceptions. Partial Payment Date Invoice Approved: ________________ Final Payment Amount Approved for Payment $_________________________________ _____________________________________________________________ Name 610adev.docx/ r.02/28/17 ATTACHMENT A Architectural Contract Consultant Name and Address Airport Name Project ID Contract Date Consultant Invoice Number and Date Time Period Covered by this Invoice: _______________________________________________________________________
Appears in 2 contracts
Samples: wisconsindot.gov, wisconsindot.gov
Consultant Certification. I certify that to the best of my knowledge the work as listed above has been completed, represents no duplication of payments, and any and all costs are in compliance with the contract items. _______________________________________________ Consultant Name _______________________________________________ Signature FOR OFFICE USE ONLY Order #: Supplier #: Project Proj. ID: Account (LN): Activity: Total: Authorized by & Date: BUREAU APPROVAL. This invoice has been reviewed for accuracy and compliance and is approved for payment. Note any exceptions. Partial Payment Date Invoice Approved: ___________________ Final Payment Amount Approved for Payment $______________________________________ __________________________________________________________________ Name 610adev.docx/ r.02/28/17 604adev.doc r.12/03/19 ATTACHMENT A Architectural Design Contract Consultant Consultant Name and Address Airport Name Project ID Contract Date Consultant Invoice Number and Date Time Period Covered by this Invoice: _______________________________________________________________________
Appears in 1 contract
Samples: wisconsindot.gov
Consultant Certification. I certify that to the best of my knowledge the work as listed above has been completed, represents no duplication of payments, and any and all costs are in compliance with the contract items. _______________________________________________ Consultant Name _________________________________________________ Signature FOR FOR OFFICE USE ONLY Order #: Supplier Supplier#: Project Proj. ID: Account (LN): Activity: Total: Authorized by & Date: BUREAU APPROVAL. This invoice has been reviewed for accuracy and compliance and is approved for payment. Note any exceptions. Partial Payment Date Invoice Approved: _______________________ Final Payment Amount Approved for Payment $_____________________________________ ________________________________________________________________ Name 610adev.docx/ r.02/28/17 602adev.docx/r. 12/03/19 ATTACHMENT A Architectural Planning Contract Consultant Name and Address Airport Name Project ID Contract Date Consultant Invoice Number and Date Time Period Covered by this Invoice: _______________________________________________________________________
Appears in 1 contract
Samples: wisconsindot.gov