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

This is a sample invoice submission form template for use under a Schedule I contracting vehicle for the base year of performance. The form is designed for contractors to submit invoices for services rendered, with fields for essential contract and delivery information including the contract number (N00604-15-R-3017), order number, member name, consignee details, service dates, pickup and delivery addresses, and a description of services provided. The invoice section contains line items organized by item codes (0001AA through 0012AB) with columns for quantity, unit of measure, unit price, and total price, allowing contractors to itemize charges for various service categories measured in units such as net weight (NCWT), each (EA), or cubic feet. The form includes space for documenting additional services and excess costs with supporting details, culminating in a total invoice amount and total weight calculation. This template standardizes the billing format for contractors performing services under the identified contract to ensure consistent and organized payment processing.