2.04.16 Attachment (15) - Invoice Submission Form (SAMPLE).xlsx

This is a sample invoice submission form template for Schedule I (Base Year) contracting under a federal supply contract. The form is designed for contractors to submit invoices for services provided, with fields to capture essential transaction details including the contract number, order number, member information, pickup and delivery addresses, service dates, and estimated versus actual weights. The invoice section includes line items organized by item codes (ranging from 0001AA through 0012AB) with columns for quantity, unit of measure, unit price, and total amount, with most items measured in NCWT (net weight) or EA (each), and one item measured in cubic feet. The form accommodates additional services and excess cost charges, with a final field for the total invoice amount and total weight. The template references sample contract number N00604-15-R-3017 and is associated with the Bridge DPM Contract Schedule I & II solicitation (N0060426Q4024) issued by the Naval Supply Systems Command under the Department of the Navy, which involves commercial services for transportation and logistics operations. This form serves as the standardized method for contractors to document and request payment for services rendered under the contract.