INVOICE / PRICING TEMPLATE BILL TO: ADDRESS: Superior Court of California County of Santa Clara 191 N. First St. San Jose, CA 95113 Attn: Finance Division REMIT TO: ADDRESS: Contract # / PO #: Quote#: NOTES: 1. INVOICE TO HAVE THE SAME BREAKDOWN AS QUOTE 2. TAX SHOULD BE APPLIED TO THE TOTAL MATERIAL COST MATERIALS Item # Date: No. 1 2 3 4 5 6 7 8 9 10 Item Description Qty Unit Price Amount No. 1 2 3 MATERIALS SUB TOTAL TAX (SANTA CLARA COUNTY CURRENT TAX RATE) SUB TOTAL OF MATERIALS PLUS TAX LABOR Item Description 8.75% Hours Rate Amount LABOR SUB TOTAL FREIGHT / SHIPPING / TRUCK CHARGES GRAND TOTAL (MATERIALS, TAX, LABOR, & FREIGHT COMMENTS: Vendor Contact Information Approved by: Date: Print Name: Phone Number: Fax Number: E-mail Address: For Superior Court Use Only Program Manager Approval: Date: American LegalNet, Inc. www.FormsWorkFlow.com