TYPICAL INVOICE FORMAT FOR CREI COST REIMBURSEMENT WITH EDUCATIONAL

TYPICAL INVOICE FORMAT FOR (CREI) COST REIMBURSEMENT WITH EDUCATIONAL INSTITUTIONS CONTRACTS EXHIBIT I XYZ UNIVERSITY 123 College Drive Anytown, CA 91111 INVOICE TO: Jet Propulsion Laboratory California Institute of Technology 4800 Oak Grove Drive Pasadena, CA 91109 Attn: Subcontract Payment Mail Stop 601-208 Invoice Date: 12/22/00 Invoice No.: 12345-00 Contract No.: 1234567 Contract Value: $250,000 Billing Period: From To 08/01/00 12/31/00 Current Costs Salaries and Wages Fringe Benefits Materials and Supplies Travel – Domestic Travel – Foreign Other Direct Costs Equipment Subcontracts Consultants Outside Services Indirect Cost: Rate% of Base Cumulative Costs Total Costs XXXXX.XX XXXXXX.XX I hereby certify that the above bill is correct and just, that payment therefore has not been received, and that the bill is presented with the knowledge that the amount paid will become the basis for a claim against the United States Government. _________________________________ Authorized Signature, Contact Name, Telephone #

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