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Provides tables for PO number, pay app number, period-to-date, job number, project description, and amount due. Includes retainage guidance, partial waiver and lien release references, division-by-division cost and subtotal calculations, overhead and contractor fee lines, and labor detail sections with record/item, employee, hours, earnings, labor burden, and totals for multiple staff categories.","COMPANY NAME  \nAddress  \nCity, State, Zip Phone:  \nINVOICE  \nINVOICE \\# DATE:  \nTO:  \nProject Manager Vanderbilt University Baker Building, Suite 1110  \nNashville, TN 37240 Phone: 615‐322‐3717  \nCOMMENTS OR SPECIAL INSTRUCTIONS:  \n\n| P.O. NUMBER | VANDERBILT\u003Cbr>CONTACT | PAY APP\u003Cbr>NUMBER | PERIOD TO DATE | JOB NO |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n\n\n| PROJECT DESCRIPTION | AMOUNT DUE |\n| --- | --- |\n|  |  |\n\nMake all checks payable to COMPANY NAME  \nIf you have any questions concerning this invoice, CONTACT NAME, COMPANY NAME, CONTACT NUMBER  \nTHANK YOU FOR YOUR BUSINESS!  \n**Leave Retainage off G702 . Retainage should be allocated on continuation G703 Sheet. VU will pay full payment including Retainage. The Contractor will need to deposit Retainage into agreed escrow account.  \n**Leave Retainage off G702  \n**List Retainage  \nContractor’s Partial Waiver and Release of Liens to Owner  \nPage  \nSigned & Notarized  \nConstruction Companies Name Project Name  \nRetainage Held ‐ Detail Sheet Period: MM/DD/YY ‐ MM/DD/YY  \nD\\# Subcontractor  \nTotal Retainage:  \nPrevious Retainage  \nCurrent Month's Retainage  \nTotal Retainage  \nTo‐Date  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n$  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n‐  \n$  \n‐  \n$  \n‐  \n$  \n‐  \nCopy of Bank Statement  \nContractor's Pay Application Index Form  \nProject Name:  \nPay Application \\#:  \nApplication Date:  \n\n| Division 1 General Conditions/Requirements |  |\n| --- | --- |\n| Direct Reimbursable Expenses Invoices |  |\n| Hourly Payroll |  |\n| Supervisory/Management Staff Payroll | $ ‐ |\n| Other (Must Specify) | $ ‐ |\n| SUBTOTAL Division 1 | $ ‐ |\n\n\n| Division 2 (Existing Conditions) | $ | ‐ |\n| --- | --- | --- |\n| Division 3 (Concrete) | $ | ‐ |\n| Division 4 (Masonry) | $ | ‐ |\n| Division 5 (Metals) | $ | ‐ |\n| Division 6 (Wood, Plastic, and Composites) | $ | ‐ |\n| Division 7 (Thermal & Moisture Protection) | $ | ‐ |\n| Division 8 (Openings) | $ | ‐ |\n| Division 9 (Finishes) | $ | ‐ |\n| Division 10 (Specialties) | $ | ‐ |\n| Division 11 (Equipment) | $ | ‐ |\n| Division 12 (Furnishings) | $ | ‐ |\n| Division 13 (Special Construction) | $ | ‐ |\n| Division 14 (Conveying Equipment) | $ | ‐ |\n| Division 21 (Fire Suppression) | $ | ‐ |\n| Division 22 (Plumbing) | $ | ‐ |\n| Division 23 (HVAC) | $ | ‐ |\n| Division 25 (Integrated Automation) | $ | ‐ |\n| Division 26 (Electrical) | $ | ‐ |\n| Division 27 (Communications) | $ | ‐ |\n| Division 28 (Electronic Safety & Security) | $ | ‐ |\n| Division 31 (Earthwork) | $ | ‐ |\n| Division 32 (Exterior Improvements) | $ | ‐ |\n| Division 33 (Utilities) | $ | ‐ |\n| Other (Must Specify) | $ | ‐ |\n| Other (Must Specify) | $ | ‐ |\n\n\n| SUBTOTAL All Divisions |  |\n| --- | --- |\n| Overhead @ X.XX% on Division Totals |  |\n| SUBTOTAL (Cost of The Work) |  |\n| Contractor's Fee @ X.XX % on Cost of The Work |  |\n| SUBTOTAL (1) |  |\n|  |  |\n| Owner Purchase Total |  |\n| Overhead Fee @ X.XX % on Owner Purchase |  |\n| SUBTOTAL (Owner Purchase) |  |\n| Contractors Fee @ X.XX % on Owner Purchase |  |\n| SUBTOTAL (2) OP Overhead Fee + OP Const. Fee = |  |\n|  |  |\n| TOTAL PAYMENT (Sub 1 + Sub 2) |  |\n\n*Provide  \nfixed or % values  \n*For Escrow Accounts: Current Retainage in the total of $0.00 will be deposited. A Bank Statement is provided in this Pay Application. *Provide current retainage held  \n*2022 Version‐CPC  \nDivision Detail Sheet Construction Manager's Name  \nProject Name 04/01/2021‐04/30/2021  \nDivision 1: General Conditions/Requirements  \n\n| \\# | CM/Vendor/Labor | Description | Amount |\n| --- | --- | --- | --- |\n|  |  |  | $ ‐ |\n|  |  |  | $ ‐ |\n|  |  |  | $ ‐ |\n|  |  |  | $ ‐ |\n|  |  |  | $ ‐ |\n|  |  |  | $ ‐ |\n|  |  |  | $ ‐ |\n\n$ ‐  \n**Include Division Cover sheet if its currently being billed in the pay app.  \nConstruction Company's Name Project:  \nJob/Cost Code: Project\\","cbCaidf5dQ7cIJnD","https://ap.wps.com/l/cbCaidf5dQ7cIJnD","pdf",2204736,4,59,"English","en",105,"# Invoice\n## Pay app header and payment instructions\n## Project summary and amount due\n## Retainage, escrow, and lien release section\n## Division cost detail and totals\n## Labor detail tables and totals","[{\"question\":\"What key fields are included at the top of the invoice/pay application?\",\"answer\":\"The template includes company address, invoice header fields (invoice number and date), payee instructions, and a summary section with PO number, pay app number, period to date, job number, project description, and amount due.\"},{\"question\":\"How does the template handle retainage?\",\"answer\":\"It provides instructions to leave retainage off a specific sheet, list retainage details on a continuation sheet, and describes escrow handling so the contractor deposits retainage into an agreed escrow account.\"},{\"question\":\"What does the document include for cost breakdown and totals?\",\"answer\":\"It contains a division-by-division cost detail layout (e.g., general conditions through electrical and other divisions), with subtotals for each section and overall totals including overhead and contractor fees for both cost of work and owner purchases.\"}]","Large-Pay-Application-Template-Example - Invoice | PDF",1790015498,{"code":4,"msg":76,"data":77},"ok",{"site_id":70,"language":69,"slug":78,"title":59,"keywords":79,"description":60,"schema_data":80,"social_meta":135,"head_meta":137,"extra_data":139,"updated_unix":140},"large-pay-application-template-example-invoice","",{"@graph":81,"@context":134},[82,97,117],{"@type":83,"itemListElement":84},"BreadcrumbList",[85,89,92,95],{"item":86,"name":87,"@type":88,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":90,"name":10,"@type":88,"position":91},"https://docshare.wps.com/template/",2,{"item":93,"name":21,"@type":88,"position":94},"https://docshare.wps.com/template/invoices/",3,{"item":96,"name":59,"@type":88,"position":66},"https://docshare.wps.com/template/large-pay-application-template-example-invoice/336537/",{"url":96,"name":59,"@type":98,"image":99,"author":104,"headline":59,"publisher":106,"fileFormat":109,"inLanguage":69,"description":60,"dateModified":110,"datePublished":111,"encodingFormat":109,"isAccessibleForFree":112,"interactionStatistic":113},"DigitalDocument",{"url":100,"@type":101,"width":102,"height":103},"https://docshare.wps.com/thumbnails/large-pay-application-template-example-invoice/336537.png","ImageObject",442,249,{"name":57,"@type":105},"Person",{"url":86,"name":107,"@type":108},"DocShare","Organization","application/pdf","2026-10-14","2026-09-21",true,{"@type":114,"interactionType":115,"userInteractionCount":66},"InteractionCounter",{"@type":116},"ViewAction",{"@type":118,"mainEntity":119},"FAQPage",[120,126,130],{"name":121,"@type":122,"acceptedAnswer":123},"What key fields are included at the top of the invoice/pay application?","Question",{"text":124,"@type":125},"The template includes company address, invoice header fields (invoice number and date), payee instructions, and a summary section with PO number, pay app number, period to date, job number, project description, and amount due.","Answer",{"name":127,"@type":122,"acceptedAnswer":128},"How does the template handle retainage?",{"text":129,"@type":125},"It provides instructions to leave retainage off a specific sheet, list retainage details on a continuation sheet, and describes escrow handling so the contractor deposits retainage into an agreed escrow account.",{"name":131,"@type":122,"acceptedAnswer":132},"What does the document include for cost breakdown and totals?",{"text":133,"@type":125},"It contains a division-by-division cost detail layout (e.g., general conditions through electrical and other divisions), with subtotals for each section and overall totals including overhead and contractor fees for both cost of work and owner purchases.","https://schema.org",{"og:url":96,"og:type":136,"og:title":59,"og:site_name":107,"og:description":60},"article",{"robots":138,"canonical":96},"index,follow",{"doc_id":55,"site_id":70},1791785032]