2.1.1 Attachment 4 Invoice Template.xlsx
XLSX spreadsheet 21 KB Posted
- Attached to
- Alternative Manufactured Housing Unit (AMHU)
- Solicitation number
- 70FBR423R00000022
- Issued by
-
Federal Emergency Management Agency
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Other files
| File | Type | Posted |
|---|---|---|
| 2.1.1 Updated Attachment 1 Price Proposal CLIN Table.xlsx | XLSX spreadsheet | |
| Responses to Questions.xlsx | XLSX spreadsheet | |
| 2.1.1 Attachment 3 Inspection Checklist (Receiving).pdf | ||
| 2.1.1 Attachment 2 Statement of Work.pdf | ||
| 2.1.1 Attachment 6 Comment_Matrix_.xlsx | XLSX spreadsheet | |
| 2.1.1 Attachment 1 Price Proposal Template CLIN Table.xlsx | XLSX spreadsheet | |
| 2.1.1 Attachment 5 AMHU_Quality_Assurance_Plan Final.pdf | ||
| 2.1.1 Attachment 7 Past_Performance_Questionnaire.pdf | ||
| 2.1.1 70FBR423R00000022.pdf |
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Text version
INVOICE
| Contractor Name: xxxxxxxxxxxxxxxxxxxxx Company Name: xxxxxxxxxxxxxxxxx | INVOICE |
| DUNS: xxxxxxxxxxx |
Address:xxxxxxxxxxxxxxxxxx (physical) xxxxxxxxxxxxxxxxxxxxx (billing) Phone:xxxxxxxxxxxxxxxxxxxxxxxx Point of Contact: xxxxxxxxxxxxxxxxxxxxx
| INVOICE #: | xxxxxxxxxxxxxxxxx |
| DATE: | April 15, 2023 |
| CONTRACT NUMBER | |
| 70FBRxxxFxxxxxxxx | |
| TO | PAYMENT OFFICE |
| FEMA REGION 04 |
DEPT OF HOMELAND SECURITY, FEMA
DR-4663-KY JFO, 657 Chamberlin Ave Frankfort, KY 40601 COR: Isidro Roman Jr Customer ID: FEMA R04 FEMA FINANCE CENTER
PO BOX 9001
WINCHESTER VA 22604
Submit invoice to:
FEMA-Finance-Vendor-Payments@fema.dhs.gov Cc: isidro.romanjr@fema.dhs.gov Cc:
| PERIOD INVOICED FROM - TO | PAYMENT TERMS | |
| SERVICE DATES: | 3-15-23 thru 4-14-23 | Due on receipt |
| QUANTITY | ITEM # | DESCRIPTION | PRO-RATED DAYS | UNIT PRICE | LINE TOTAL |
| 1 | 0001 | 0 | $650.00 | $650.00 | |
| 0002 | $21.67 | $0.00 | |||
| 0 | $0.00 | ||||
| FINAL INVOICE | 0 | $0.00 | |||
| 0 | $0.00 | ||||
| 0 | $0.00 | ||||
| 0 | $0.00 | ||||
| 0 | $0.00 | ||||
| 0 | $0.00 | ||||
| TOTAL DUE | $650.00 |
_______________________________________________________ Signature/Date (Required)
ALL INVOICES SENT TO FEMA FINANCE CENTER MUST BE COPIED TO: isidro.romanjr@fema.dhs.gov
File details come from the government source that posted it. Updated .