8._Contractor_Invoice.xlsx

XLSX spreadsheet 35 KB Posted

Attached to
AFD: Chemical Services for the District of New Jersey
Solicitation number
15M50018QA4400012
Issued by

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Contractor Invoice

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Q_and_A.pdf PDF
15M50018QA4400012_0001.pdf PDF
6._Pricing_Schedule.xlsx XLSX spreadsheet
15M50018QA4400012.pdf PDF
5._Chemical_SOW.pdf PDF
7._MSDS.pdf PDF
3._Instructions_to_Offerors.pdf PDF
1._SF1449_Continuation.pdf PDF
2._Additional_Clauses.pdf PDF
4._Offeror_Info_Page.pdf PDF

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Invoice Cover Sheet

DISTRICT:CONTRACT #:
BILLING OFFICE:TASK ORDER #:
BILLING ADDRESS:INVOICE NUMBER:
INVOICE DATE:
INVOICE PERIOD OF PERFORMANCE:
OPTION YEAR:
Company Name:Telephone Number:
Point of Contact:Fax Number:
Address:Tax Identification Number:
E-Mail Addresses:

Storage & Disposal Services - USMS Chemical Invoice

OBLIGATION CERTIFICATION
Obligation Balance$ - 0
Additional Funds$ - 0
De-obligation of Funds$ - 0
Current Obligation Balance:$ - 0
Previous Balance
Current Invoice Total Amount$ - 0
SOC 22012$ - 0
SOC 25715$ - 0
SOC 25701$ - 0
SOC 25226$ - 0
Remaining Balance$ - 0
CONTRACTOR CERTIFICATION: I hereby certify to the best of my knowledge and belief that the charges for services shown on
this invoice are being invoiced accurately per the Statement of Work.

I hereby certify that_____________ is a small business concern as defined in Federal Acquisition Regulation (FAR) subpart 2.101.

Contractor Signature Date

COR CERTIFICATION: I hereby certify to the best of my knowledge and belief that the supplies and / or services shown on this
invoice have been received and accepted.

COR Signature Date

U.S. Marshals Service Asset Forfeiture Division

INVOICE COVER SHEET &D

TransportStorageSupplie Invoice

Invoice Number:0Obligation Balance:$ - 0
Contract #:0Previous Balance:$ - 0
Task Order #:0Invoice Total Amount:$ - 0
Remaining Balance:$ - 0
U.S. Marshals Service (District)
TransportationCurrent Monthly StorageSupplies
O/C 22012O/C 25715O/C 25715
CATS ID #Date of
CustodyCLINRateStartEndCLINRatePalletsTotalCLINRateTotal
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0

TOTAL $ - 0 $ - 0 $ - 0 $ - 0

&P of &N &D &T

Disposal Invoice

Invoice Number:0Obligation Balance:$ - 0
Contract #:0Previous Balance:$ - 0
Task Order #:0Invoice Total Amount:$ - 0
Remaining Balance:$ - 0
U.S. Marshals Service (District)
Disposal
O/C 25226
CATS ID #Date of
CustodyCLINQuantity (Drums)RateTotal
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0
$ - 0

TOTAL $ - 0

&P of &N &D &T

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