Sample Utility Invoice - Starbucks Coffee Company



Starbucks store #:       | |

|UTILITY INVOICE |

|Invoice Date: |      | |Mail invoice to: |Starbucks store #:       |

| | | | |Mailstop-RE3 |

| | | | |PO Box 34067 |

| | | | |Seattle, WA 98124-1067 |

|Invoice #: |      | | | |

|Store Service Address: |      | | | |

▪ Please use this template when invoicing Starbucks for direct utility costs that are based on meter/sub-meter readings or pro rata share per the lease.

▪ Do not include common area utility charges, as those charges are a part of Common Area Maintenance (CAM) and are included in CAM payments and annual reconciliations.

|Electric | |Gas |

|Service Begin Date: |      | |Service Begin Date: |      |

|Service End Date: |      | |Service End Date: |      |

|( Based Meter/Sub-Meter | |( Based on Meter/Sub-Meter |

|-Beginning meter read       | |-Beginning meter read       |

|-Ending meter read       | |-Ending meter read       |

|Total =       ( KWh ( kw | |Total =       therms |

|( Based on pro-rata share of       % | |( Based on pro-rata share of       % |

|Starbucks Total Cost: $      | |Starbucks Total Cost: $      |

| | | | | | | |

|Water | |Sewer |

|Service Begin Date: |      | |Service Begin Date: |      |

|Service End Date: |      | |Service End Date: |      |

|( Charges based on Meter/Sub-Meter | |( Charges based on Meter/Sub-Meter |

|-Beginning meter read       | |-Beginning meter read       |

|-Ending meter read       | |-Ending meter read       |

|Total =       ( cf ( CCF | |Total =       ( cf ( CCF |

|( gal ( 1000 Gal | |( gal ( 1000 Gal |

|( Based on pro-rata share of       % | |( Based on pro-rata share of       % |

|Starbucks Total Cost: $      | |Starbucks Total Cost: $      |

| | | | | | | |

| | | |STARBUCKS TOTAL AMOUNT DUE: $      |

Attach a copy of third party utility invoice for same period as backup as applicable.

|Payment Remit Name: |      | |Landlord contact Information: |

|Payment Remit address: |      | |Name:       |

| |      | |phone #:       |

| |      | |fax#:       |

| | | |E-mail:       |

| | | | |

Visit Landlord Frequently Asked Questions on our website: leaseFAQ 12/2009

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