Client Final Bill Statement

CLIENT FINAL BILL STATEMENT

Client Name:   Client Address:

Service Provider Name:   Provider Address:

Statement Date:   Reference/Account No.:

RECITALS

WHEREAS, Service Provider has performed the professional services and delivered the goods described in the Scope of Work below for Client under the terms of the parties' governing engagement; and

WHEREAS, this document constitutes the final billing statement and accounting of charges, credits, payments and adjustments attributable to the engagement through the Statement Date; and

WHEREAS, the parties intend that payment of the Final Amount Due and the execution of the signature block below shall evidence Client's acceptance of services rendered and resolution of outstanding billing matters subject to the terms herein.

SCOPE OF WORK

ITEMIZED CHARGES

Item 1:  Amount:

Item 2:  Amount:

Item 3:  Amount:

Item 4:  Amount:

Item 5:  Amount:

Item 6:  Amount:

PAYMENT TERMS

Payment of the Final Amount Due shall be made in full in accordance with the following schedule and terms. Amount Due:   Due Within: days of Statement Date.

Late Payment: Unpaid balances shall incur a late fee equal to per month (or the maximum allowed by law, if less) on the unpaid principal balance until paid in full. A one-time administrative fee of may also apply.

TERM AND TERMINATION

Engagement Start Date:   Engagement End Date:

Either party may terminate any remaining obligations under the engagement upon written notice of days. Termination shall not relieve Client of the obligation to pay for services performed and expenses incurred through the effective date of termination.

CONFIDENTIALITY

The parties acknowledge that Confidential Information (meaning nonpublic business, financial, technical or client information disclosed in connection with the engagement) was exchanged during performance. Each party agrees to hold Confidential Information in strict confidence, not to disclose such information to third parties except as required by law, and to use the Confidential Information solely for purposes reasonably related to performance and finalization of the billing statement. Confidentiality obligations shall survive termination or expiration of the engagement for a period of two (2) years, except where a longer period is required by applicable law.

GOVERNING LAW

This Final Bill Statement and any disputes arising under or related to it shall be governed by and construed in accordance with the laws of the State of without regard to its conflict of laws principles.

ENTIRE AGREEMENT

This Final Bill Statement, together with any written engagement letter, exhibits, or prior written amendments specifically referenced herein, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior or contemporaneous oral or written agreements and understandings related to the final accounting and payment obligations described. Any amendment must be in writing and signed by authorized representatives of both parties.

CERTIFICATION

By signing below, Client and Service Provider certify that the information contained in this Final Bill Statement is true, accurate and complete to the best of their knowledge, that services and charges described were rendered and incurred as stated, and that Client agrees to remit payment in accordance with the Payment Terms above.

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