adilla
& ASSOCIATES
Billed To: Invoice No.: 22-109-01
Carla Rodriguez Date: 6/24/22
Engineering Secretary
City of Ripon
259 N. Wilma Avenue
Ripon, CA 95366
Purchase Order Consultant Agreement Other Terms
Number
TBD DBE Reporting
Services Net 30
ACCOUNT STATUS SUMMARY
Padilla & Associates, Inc. has completed the Following Tasks and Deliverables in accordance with the City of Ripon's above referenced Professional Services Agreement. Payments associated with each task is now due and payable, please see below:
TASKS COST
B. FFY 22/23 Exhibit 9B "Local Agency DBE Annual Submittal Form" Padilla & Associates, Inc. assisted the City in preparing the annual form for submission to Caltrans due June 1 of each year $250.00
INVOICE TOTAL: $250.00
PLEASE REMIT PAYMENT TO: fu
PADILLA & ASSOCIATES, INC. 6/28/2022
211 E. CITY PLACE DRIVE
SANTA ANA CA 92705
Federal Identification Number: 33-0889949