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

XLSX spreadsheet 29 KB Posted

Attached to
DPM Household Goods Packing, Moving, and Storage
Solicitation number
N0060426R0003
Issued by

About this file

This is a sample invoice submission form template in Excel format for use by contractors responding to NAVSUP Fleet Logistics Center Pearl Harbor Solicitation N0060426R0003. The template does not contain specific product or service requirements, pricing structures, or substantive contract terms. It serves as an appendix to guide contractors on the required format and data elements for submitting invoices under the commercial packing, containerization, and local drayage services contract. Contractors responding to this Indefinite-Delivery Requirements contract—which is structured as a Firm-Fixed-Price agreement with an estimated maximum value of $45.3M over five years—would use this form to document billable services under the three schedules (Outbound, Inbound, and Intracity). The template is intended to standardize invoice documentation and facilitate administrative processing for services supporting Department of Defense personnel relocations.

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Text version

SI CONTRACTOR FORM

SCHEDULE I (BASE YEAR)

Date of Order: Contract Number: Order Number:

Member's Name: Consignee:

Estimated Weight: Actual Weight: Date Services Provided:

P/U Address: Delivery Address:

Services Provided:

Additional Services:

INVOICE INFORMATION
ITEMQUANTITYUNITUNIT PRICETOTALAdditional ITEMQUANTITYUNITUNIT PRICETOTAL
0001AANCWT
0001ABNCWT
0001ACNCWT
0001ADNCWT
0002AANCWT
0002ABNCWT
0003AANCWT
0003ABNCWT
0003ACNCWT
0003ADNCWT
0003AENCWT
0003AFNCWT
0004AANCWT
0004ABNCWT
0004ACNCWT
0004ADNCWT
0005AANCWT
0005ABNCWT
0005ACNCWT
0005ADNCWT
0006AANCWT
0006ABNCWT
0006ACNCWT
0006ADNCWT
0007AANCWT
0007ABNCWT
0008AANCWT
0008ABNCWT
0009AANCWT
0010AAEA
0010ABEA
0010ACCu ft or fraction thereof
0011AAEA
0011ABEA
0011ACEA
0012AAEA
0012ABEA

If excess cost is involved provide details regarding additional payments (members cost):

TOTAL INVOICE AMOUNT: TOTAL WEIGHT:

SAMPLE

N00604-15-R-3017 Attachment (15) – Invoice Submission Form

SAMPLE

File details come from the government source that posted it. Updated .