9._Contractor_Invoice.xlsx

XLSX spreadsheet 45 KB Posted

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National Animals Contract
Solicitation number
15M50019QA4400005
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Contractor Invoice

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Invoice Cover Sheet

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

Invoice

OBLIGATION CERTIFICATION
Obligation Balance
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 25105$ - 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

Invoice

Invoice Number:0Obligation Balance:$ - 0
Contract #:0Previous Balance:$ - 0
Invoice Total Amount:$ - 0
Remaining Balance:$ - 0
U.S. Marshals Service (National Contract)
RelocationMonthly KennelingVet. CareTotal for 25715Management & Support Services
O/C 22012O/C 25715O/C 25715O/C 25105
CATS ID #DescriptionDate of
CustodyCLINRateStartEndCLINRateDaysTotalCLINRateCLINRateTotal
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0

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

RelocationMonthly KennelingVet. CareTotal for 25715Management & Support Services
O/C 22012O/C 25715O/C 25715O/C 25105
CATS ID #DescriptionDate of
CustodyCLINRateStartEndCLINRateDaysTotalCLINRateCLINRateTotal
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0

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

RelocationMonthly KennelingVet. CareTotal for 25715Management & Support Services
O/C 22012O/C 25715O/C 25715O/C 25105
CATS ID #DescriptionDate of
CustodyCLINRateStartEndCLINRateDaysTotalCLINRateCLINRateTotal
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0

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

RelocationMonthly KennelingVet. CareTotal for 25715Management & Support Services
O/C 22012O/C 25715O/C 25715O/C 25105
CATS ID #DescriptionDate of
CustodyCLINRateStartEndCLINRateDaysTotalCLINRateCLINRateTotal
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
TOTAL$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
GRAND TOTAL$ - 0$ - 0$ - 0$ - 0

&D &T

&P of &N &D &T

Disposals

Invoice Number:0Obligation Balance:$ - 0
Contract #:0Previous Balance:$ - 0
Task Order #:0Invoice Total Amount:$ - 0
Remaining Balance:$ - 0
U.S. Marshals Service (National Contract)
Sales CommissionDisposal
O/C 25226O/C 25226
CATS ID #DescriptionDate of
CustodyCLINSale PriceRateTotalCLINRateTotal
$ - 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

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