11._Contractor's_Invoice.pdf

PDF 294 KB Posted Nov 20, 2018

Attached to: AFD: Towing, STorage, Maintenance and Disposal of Seized and/or Forfieted Vehicles for the Districts of Arizona, Colorado, New Mexico, Utah and Wyoming
Solicitation number: 15M50019QA4400001
Issued by: Department of Justice US Marshals Service Asset Forfeiture Contracts Team

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Contractor's Invoice

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U.S. Marshals Service Asset Forfeiture Division

INVOICE COVER SHEET

11/20/2018

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:

SOC 22012 -$

SOC 25715 -$

SOC 25105 -$

SOC 25226 -$

Remaining Balance -$

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.

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

Towing, Storage & Disposal Services - USMS Vehicle Invoice

OBLIGATION CERTIFICATION

I hereby certify that Rbex Inc., dba Apple Towing Co. is a small business concern as defined in Federal Acquisition Regulation (FAR) subpart 2.101.

Obligation Balance Additional Funds De-obligation of Funds

Current Obligation Balance:

Previous Balance Current Invoice Total Amount

DISTRICTS BREAKDOWN

11/20/20184:16 PM

LOCATION/OFFICE SOC 22012 Towing SOC 25715 Storage SOC 25715 Personal Property SOC 25105 Appraisals SOC 25226 Commission OFFICE TOTAL

D/AZ -$ -$ -$ -$ -$ -$

D/CO -$ -$ -$ -$ -$ -$

D/NM -$ -$ -$ -$ -$ -$

D/UT -$ -$ -$ -$ -$ -$

D/WY -$ -$ -$ -$ -$ -$

Total -$ -$ -$ -$ -$ -$

Invoice Number: -$ Contract #: -$

Task Order #: -$

Location /Office* CATS ID Date of

Custody End Date CLIN Description Quantity Rate Days Total

D/AZ 1 -$

1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$ 1 -$

TOTAL -$

Remaining Balance:

U.S. Marshals Service Personal Property

0 Obligation Balance:

0 Previous Balance:

0 Invoice Total Amount:

4 of 18 11/20/2018 4:16 PM

Obligation Balance: -$ Previous Balance: -$

Invoice Total Amount: -$ Remaining Balance: -$

CATS ID # Year Make Model VIN (last 6)

Date of Custody CLIN Rate Start End CLIN Rate Days Total CLIN Rate CLIN Rate Total Total

1 -$ -$ -$ -$

1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$ 1 -$ -$ -$ -$

TOTAL -$ -$ -$ -$ -$ -$

U.S. Marshals Service (D/AZ)

Towing Current Monthly Storage Repair

Total for 25715O/C 22012 O/C 25715 O/C 25715 O/C 25105 Appraisals

Invoice Number: 0 Contract #: 0

Task Order #: 0

5 of 18 11/20/2018 4:16 PM

GRAND TOTAL -$ -$ -$ -$ -$ -$

O/C 25105 AppraisalsTowing Current Monthly Storage Repair

Total for 25715 O/C 22012 O/C 25715 O/C 25715

6 of 18 11/20/2018 4:16 PM

Custody CLIN Sale Price Rate Total CLIN Rate Total

TOTAL -$ -$ -$

Disposal Daily Sales Facilitation O/C 25226 O/C 25226

Task Order #: 0 Invoice Total Amount: -$

Invoice Number: 0 Obligation Balance: -$ Contract #: 0 Previous Balance: -$

7 of 18 11/20/20184:16 PM

O/C 25715 O/C 25715

U.S. Marshals Service (D/CO)

Total for 25715O/C 22012

8 of 18 11/20/20184:16 PM

O/C 22012 O/C 25715 O/C 25715 O/C 25105

9 of 18 11/20/20184:16 PM

10 of 18 11/20/20184:16 PM

U.S. Marshals Service (D/NM)

Total for 25715O/C 22012 O/C 25715 O/C 25715

11 of 18 11/20/20184:16 PM

12 of 18 11/20/20184:16 PM

13 of 18 11/20/20184:16 PM

U.S. Marshals Service (D/UT)

14 of 18 11/20/20184:16 PM

15 of 18 11/20/20184:16 PM

16 of 18 11/20/20184:16 PM

U.S. Marshals Service (D/WY)

Total for 25715O/C 22012 O/C 25715 O/C 25715

17 of 18 11/20/20184:16 PM

A i lT i C t M thl St R i

18 of 18 11/20/20184:16 PM

Invoice Cover Sheet

DISTRICT BREAKDOWN

Personal Property Invoice

TowingStorageRepair Invoice DAZ

Disposal Invoice DAZ

TowingStorageRepair Invoice DCO

Disposal Invoice DCO

TowingStorageRepair Invoice DNM

Disposal Invoice DNM

TowingStorageRepair Invoice DUT

Disposal Invoice DUT

TowingStorageRepair Invoice DWY

Disposal Invoice DWY

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