Agreement Start Date INVOICING INFORMATION PARTIAL FINAL BILL NO. AMOUNT OF THIS BILL Purchase Order Number ex P02 xxx xxxxxxxxxx Statute/Agreement Type KRS 177. MAIL TO Highway Chief District Engineer ATTN District Utility Agent find at http //transportation.ky. 035 Keep Cost Agreement/PRDO Amount Change Orders TOTAL AMOUNT OF PREVIOUS BILLS TOTAL BILLS TO DATE COMPANY CERTIFICATION I certify to the extent applicable the attached invoice is a true statement of costs incurred by our Company in constructing the most economical type of facilities in the new location as will satisfactorily meet the same service requirements as the old facilities in the old location on subject project all materials for which we seek reimbursement adhere to federal Buy America provisions as required and all costs listed are eligible for payment by KYTC. Records of invoiced work are to be retained as defined in the referenced agreement and may be subject to audit. Gov/district. htm GENERAL ROAD PROJECT INFOR....
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How to fill out the KY TC 69-008 online
Filling out the KY TC 69-008 form online is an essential process for companies invoicing the Kentucky Transportation Cabinet for work completed. This guide provides clear, step-by-step instructions to assist users in accurately completing the form.
Follow the steps to fill out the KY TC 69-008 online effectively.
- Click ‘Get Form’ button to obtain the form and open it in your preferred digital editor.
- Complete the general road project information section. Provide details such as location/description, fiscal information, federal number (if applicable), county, state number, route/road name, item or DOT number, and a project description.
- Fill in the company information section. Include the company name, contact name, and address as defined in the agreement, along with the company invoice number (if applicable) and remit to address. Ensure accuracy in all fields.
- Document the dates for when invoiced work began and when it was completed. Enter all dates using the m/d/yyyy format.
- Provide invoicing information, indicating whether this is a partial or final invoice. Fill in the total bills to date, agreement/DO amount, change orders, and any additional charges. Ensure the calculations are correct.
- Certify the information by completing the company certification section, signing where indicated, and including the title and date.
- If necessary, complete page 2 for additional change orders or county distribution information.
- After all sections are filled out, review the form for any errors or missing information before saving, downloading, printing, or sharing the completed form.
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Kentucky Transportation Cabinet. Division of Right of Way & Utilities. UTILITY/RAIL...
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