SAMPLE INVOICE NEED HELP? Call 800.762.7077
Focus on Energy requires a copy of your itemized invoice to process rebates and incentives. Use this example to help guide you through our invoice requirements. Only registered Trade Allies can receive rebate and incentive payments on behalf of their customers. If submitting a purchase order, submit an invoice as well. Purchase orders alone are not sufficient documentation.
INVOICE DATE AND NUMBER
Date: 1/1/2026 Invoice # 00001
TRADE ALLY NAME AND ADDRESS
CUSTOMER NAME AND ADDRESS
John Sample Corporation 123 Save Energy Way Anytown, WI 53590
John Sample Corporation 123 Save Energy Way Anytown, WI 53590
XYZ Contractor 111 Process Rd Anytown, WI 53523 (555) 555-1212
To
Ship To
INCLUDE JOB SITE INFORMATION (NAME & ADDRESS) IF DIFFERENT FROM ABOVE
QUANTITY SHIPPED
MANUFACTURER OR BRAND
EXTENDED PRICE
MODEL #
DESCRIPTION
1
ABC Brand
XYZ-100
100 Hp, Process Pump VFD $ 16,195.00
10
ABC Brand
XXYYE
No Air-Loss Condensate Drains
$4,497.10
INCLUDE A DETAILED DESCRIPTION
INCLUDE ITEM COST
IDENTIFY MANUFACTURER AND MODEL NUMBERS
SPECIFY THE QUANTITY FOR EACH
Focus on Energy Rebate - $ 6,300.00 Subtotal $ 14,392.10 Sales Tax $ 791.57
If you are a Focus on Energy registered Trade Ally receiving the rebate, you must show the credit to the customer on your invoice
$ 15,183.67
TOTAL AMOUNT DUE
Thank you for your business!
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