(25) J-0200000-04 Invoice Form.pdf
PDF 63 KB Posted
- Attached to
- Multiple Services Federal contract opportunity
- Solicitation number
- N4008520R2557
About this file
This is NAVFAC Form 7300/30, a contractor's invoice form used by the Naval Facilities Engineering Command (NAVFAC) for processing payments under contract N40085. The form consists of three main sections: (1) Contractor's Invoice section where contractors provide performance details including total contract value, percentage complete, and amount being invoiced; (2) First Endorsement section for receipt and acceptance certification by government representatives, including details like retention, payment amounts, and key dates; and (3) Prompt Payment Certification section where an authorized representative certifies accounting data accuracy and fund availability.
The form requires input of the contractor's DUNS number, CAGE code, invoice date/number, and point of contact information. It tracks contract performance through fields for total value, completion percentage, prior payments, and current invoice amount. Key dates captured include material/services receipt and acceptance dates. The form enables proper accounting through line item tracking (CLIN, SLIN, ACRN) and includes signature blocks for contractor and government representatives to certify the accuracy of the invoice and recommend payment.
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Text version
NAVFAC 7300/30
(Rev 2/01)
DUNS NO: ________________
1. CONTRACTOR'S INVOICE CAGE CODE NO: ________________
From:
POC/Telephone/email for this invoice:
To:
Below is a Statement of Performance under Contract N40085- Task Order:
for at
The enclosure provides breakdown of this statement of performance.
A. Total value of contract/task order through change B. Percentage of performance complete C. Value of completed performance D. Less total of prior payments E. Amount of this invoice
Signature and Title:
Date:
2. FIRST ENDORSEMENT Receipt and Acceptance Certification From:
To:
1. Payment is recommended as follows:
A. Amount of work completed to (date) B. Less:
Retention
C. Subtotal D. Less previous payments E. Certified amount for payment # Final on TO # F. Elapsed contract time (if applicable)
G. Responsible Certifying UIC H. Invoice Receipt Date I. Material/Services Receipt Date J. Material/Services Acceptance Date K. Date forwarded to paying office L. I certify this amount is correct and payment is recommended.
Signature: Date:
Signature of Authorized Representative
Name and Title (typed):
Phone and address:
3. PROMPT PAYMENT CERTIFICATION
I certify that the accounting data provided is accurate, funds have been obligated in appropriate accouting system and changes have been applied to the apprpriate accounting classification reference number (ACRN), available funds have been decremented for the amount approved for disbursement and will not be de-obligated and the aboave invoice is correct and proper for payment.
Signature: Date:
Signature of Authorized Representative
Name and Title (typed):
Phone and address:
Line(s) of accounting to be used for this invoice (include appropriate Line Item # (CLIN, SLIN, or ACRN, etc)
Other Deductions:
Invoice Date Invoice Number
Signature of Authorized Representative
Contract Specialist:
ATTACHMENT J-0200000-04
NAVAL FACILITIES ENGINEERING COMMAND
Sheet1
File details come from the government source that posted it. Updated .