FBO_15_Technical_Exhibit_10_Example_Monthly_Invoice.pdf

Technical Exhibit (TE-10) Example Monthy Invoice

Contractor X, I N C Vendor Address Vendor Phone

TIN # ______________

Contractor X, Inc Phone:

Fax:

Email:

Date

Bill To:

U. S. Department of Agriculture Natural Resources Conservation Service 5601 Sunnyside Avenue Room 2-2186 Stop Code 5460 Beltsville, MD 20705

Attn: Federal Employee COR name

I N V O I C E F O R S E R V I C E S

Invoice #______ Contract # _____________ for Period _____ through _______

Tasks Dollars Employee 1

Employee 2 Employee 3 Employee 4

Total

Remit to:

Contractor Name Contract Address

TIN #

Contract # Vendor Express # Invoice #

Recommended for Payment:

COR Date

Director RAD Date