SF-1035_Public_Voucher_for_Purchases_Continuation_Sheet_Attachment_J-4.pdf

PDF 596 KB Posted May 22, 2015

Attached to: Tuberculosis Laboratory Testing for the U. S. -affiliated Pacific Islands Federal contract opportunity
Solicitation number: 2015-N-17138
Issued by: Department of Health and Human Services Centers for Disease Control and Prevention Office of Acquisition Services

About this file

From the source

Attachment J-4_SF1035

View the file

Other files for this federal contract opportunity

Other files attached to Tuberculosis Laboratory Testing for the U. S. -affiliated Pacific Islands, newest first.
File	Type	Posted
Amendment_1_RFP_2015-N-17138.pdf	PDF	Jun 12, 2015
Representations_and_Certifications_Attachment_J-7.pdf	PDF	May 22, 2015
QASP_Attachment_J-8.pdf	PDF	May 22, 2015
Past_Performance_Survey_Attachment_J-2.pdf	PDF	May 22, 2015
Packaging_and_Delivery_of_Proposal_Attachment_J-5.pdf	PDF	May 22, 2015
SF-1034_Public_Voucher_for_Purchases_Services_other_than_Personnel_Attachment_J-3.pdf	PDF	May 22, 2015
ACH_Vendor_Miscellaneous_Payment_Enrollment_Form_Attachment_J-1.pdf	PDF	May 22, 2015
RFP_2015-N-17138_Final_05-22-15.pdf	PDF	May 22, 2015
Proposal_Intent_Response_Sheet_Attachment_J-6.pdf	PDF	May 22, 2015

On GovTribe

Work with this file on GovTribe

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

PUBLIC VOUCHER FOR PURCHASES AND

SERVICES OTHER THAN PERSONAL

Standard Form 1035 (EG) September 1973

4 Treasury FRM 2000 1035-110

QUAN-

TITY

CONTINUATION SHEET

VOUCHER NO.

SCHEDULE NO.

SHEET NO.

U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT

NUMBER

AND DATE

OF ORDER

DATE OF

DELIVERY

OR SERVICE

ARTICLES OR SERVICES

(Enter description, item number of contract or Federal supply schedule, and other information deemed necessary)

UNIT PRICE AMOUNT

COST PER

Designed using Perform Pro, WHS/DIOR, Aug 96

Accessible FormNet VisualFill - WendlerJ

PUBLIC VOUCHER FOR PURCHASES AND

SERVICES OTHER THAN PERSONAL

Standard Form 1035 (EG) September 1973 4 Treasury FRM 2000 1035-110

QUAN-

TITY

CONTINUATION SHEET

VOUCHER NO.

SCHEDULE NO.

SHEET NO.

U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT

NUMBER

AND DATE

OF ORDER

DATE OF

DELIVERY

OR SERVICE

ARTICLES OR SERVICES

(Enter description, item number of contract or Federal supply schedule, and other information deemed necessary)

UNIT PRICE

AMOUNT

COST

PER

Designed using Perform Pro, WHS/DIOR, Aug 96

VOUCHER NUMBER:

SCHEDULE NUMBER:

SHEET NUMBER:

U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT:

Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 1 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 2 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 3 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 4 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 5 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 6 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 7 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 8 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 9 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 10 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 11 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 12 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 13 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 14 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 15 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 16 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 17 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 18 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 19 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 20 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Date of Order. Line 21 of 21. Enter 2 digit month, 2 digit day and 4 digit year.:

Number of Order. Line 1 of 21:

ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary):

Number of Order. Line 2 of 21:

Number of Order. Line 3 of 21:

Number of Order. Line 4 of 21:

Number of Order. Line 5 of 21:

Number of Order. Line 6 of 21:

Number of Order. Line 7 of 21:

Number of Order. Line 8 of 21:

Number of Order. Line 9 of 21:

Number of Order. Line 10 of 21:

Number of Order. Line 11 of 21:

Number of Order. Line 12 of 21:

Number of Order. Line 13 of 21:

Number of Order. Line 14 of 21:

Number of Order. Line 15 of 21:

Number of Order. Line 16 of 21:

Number of Order. Line 17 of 21:

Number of Order. Line 18 of 21:

Number of Order. Line 19 of 21:

Number of Order. Line 20 of 21:

Number of Order. Line 21 of 21:

When stated in foreign currency, insert name of currency:

Amount:

Per:

Unit Price. Cost.:

Quantity:

File details come from the government source that posted it. Updated Nov 14, 2017.