2.04.15 Attachment (14) - Set-Off Action Form.xlsx

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Attached to
DPM Household Goods Packing, Moving, and Storage
Solicitation number
N0060426R0003
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This is a Set-Off Action Form template used by Fleet Logistics Center Pearl Harbor for processing contract invoice deductions and adjustments across multiple federal payment processing centers.

The form serves as a standardized notification document sent from Fleet Logistics Center Pearl Harbor (JPPSO-Hawaii, Code 448) to various Defense Finance and Accounting Service (DFAS) offices and military finance centers when authorized contract deductions must be applied to contractor invoices. The template includes six distinct routing versions: one to Navy Aloha Center for internal processing, one to DFAS Rome/AP/DCC, one to U.S. Coast Guard Finance Center, one to DFAS BVF/LI in Limestone Maine, one to Comptroller Transaction Voucher Certification Branch in Albany Georgia, and one to Marine Corps Base Hawaii (MCBH) Kaneohe Bay. Each version documents the original invoice number and amount, the authorized contract deduction amount and percentage, and the adjusted invoice total after deduction is applied. The form references DD Form 2772 (Contracting Report) as an enclosure and requires a copy of the original invoice to accompany the notice. All versions include a point of contact as Transportation Assistant with phone number 808-473-7700. The form is designed as a template with blank fields for contractor name, contract number, service order number, member name, invoice details, and deduction amounts, making it applicable to various contract actions requiring set-off procedures across different payment chains.

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MASTER

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:NAVY ALOHA CENTER(M/L)
988 SPENCE STREET, BLDG 2652
CODE: NHB
HONOLULU, HI 96818
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to subject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjusted Deduction Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with subject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjusted Invoice Total:$ - 0
4.Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

A

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:DFAS ROME/AP/DCC( A )
325 BROOKS ROAD
ROMEO, NY 13441-4527
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to suject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with suject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0
4.Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

CG

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:COMMANDING OFFICER( CG )
U. S. COAST GUARD FINANCE CENTER
1430A KRISTINA WAY
CHESAPEAKE, VA 23326
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to suject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with suject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0

4. Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

F

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:DFAS BVF/LI(N/H)
27 ARKANSAS RD., STE 300
LIMESTONE, ME 04751-6216
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2018, Contracting Report No:
DD FORM 2772, Contracting Report No:(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to subject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with subject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0
4.Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

MA

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:COMPT TRAN VOUCH CERT BRANCH (TVCB)( M/A )
ATTN CODE 470
814 RADFORD BLVD. SUITE 20318
ALBANY, GA 31704-0318
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to suject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with suject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0

4. Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

ML

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:COMMANDING GENERAL( M/L )
ATTN: LSAP
BOX 63063 MCBH
KANEOHE BAY, HI 96863-3063
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to suject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with suject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0

4. Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

N

DATE:
FROM:FLEET LOGISTICS CENTER PEARL HARBOR
JPPSO-HAWAII (CODE 448)
4825 BOUGAINVILLE DRIVE
HONOLULU, HI 96818
TO:DFAS CLEVELAND( N )
PACIFIC ACCOUNTS PAYABLE
P.O . BOX 998023
CLEVELAND, OH 44199
SUBJ:Set-Off Action for:
(Contractor)(Contract No)
ENCL.:( 1 )DD FORM 2772, Contracting Report No:
(Service Order No.)
( 2 )Copy of Invoice number:
Members name:
1.In reference to suject contract, the following set-off action is authorized per enclosure (1)
Invoice No. :0
Member's Name:0
Total Invoice Amount:
Authorized Contract Deduction:(%)
Adjustment Voucher Total:$ - 0
2.The above invoice was processed and Forwarded to your office on
without applying the authorized deduction. A copy of the invoice is provied as enclosure (2).
3.In accordance with suject contract, the above deduction is applied to the following invoice:
Invoice Number:
Service Order Number:
Member's Name:
Total invoice amount:
Authorized contract deduction:
Adjust voucher total:$ - 0
4.Point of Contact: [Name], Transportation Assistant, ph: 808-473-7700

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