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Quarter 1
| Summary Reporting for __________________________ Contract Number: ___________________________ PoP: _________________________ | | | | | | | | | | | |
| VA MEDICAL CENTER (Station Code) | Program Office Code | TASK ORDER/DELIVERY ORDER NUMBER | TASK ORDER DATE | PO Number | CLIN | ITEMIZED LIST OF ALL PURCHASED ITEMS UNDER CLIN | QUANTITY | UNIT PRICE | TOTAL CLIN PRICE | TASK ORDER TOTAL PRICE | Total Qtr Price |
| | | | | | | | | $0.00 | | |
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Quarter 2
| Summary Reporting for __________________________ Contract Number: ___________________________ PoP: _________________________ | | | | | | | | | | | |
| VA MEDICAL CENTER (Station Code) | Program Office Code | TASK ORDER/DELIVERY ORDER NUMBER | TASK ORDER DATE | PO Number | CLIN | ITEMIZED LIST OF ALL PURCHASED ITEMS UNDER CLIN | QUANTITY | UNIT PRICE | TOTAL CLIN PRICE | TASK ORDER TOTAL PRICE | Total Qtr Price |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
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| | | | | | | | | $0.00 | | |
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| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | | | $0.00 |
Quarter 3
| Summary Reporting for __________________________ Contract Number: ___________________________ PoP: _________________________ | | | | | | | | | | | |
| VA MEDICAL CENTER (Station Code) | Program Office Code | TASK ORDER/DELIVERY ORDER NUMBER | TASK ORDER DATE | PO Number | CLIN | ITEMIZED LIST OF ALL PURCHASED ITEMS UNDER CLIN | QUANTITY | UNIT PRICE | TOTAL CLIN PRICE | TASK ORDER TOTAL PRICE | Total Qtr Price |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | | | $0.00 |
Quarter 4
| Summary Reporting for __________________________ Contract Number: ___________________________ PoP: _________________________ | | | | | | | | | | | |
| VA MEDICAL CENTER (Station Code) | Program Office Code | TASK ORDER/DELIVERY ORDER NUMBER | TASK ORDER DATE | PO Number | CLIN | ITEMIZED LIST OF ALL PURCHASED ITEMS UNDER CLIN | QUANTITY | UNIT PRICE | TOTAL CLIN PRICE | TASK ORDER TOTAL PRICE | Total Qtr Price |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
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| | | | | | | | | $0.00 | | |
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| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
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| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
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| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | $0.00 | | |
| | | | | | | | | | | $0.00 |
FY Summary
| Summary Reporting for __________________________ Contract Number: ___________________________ PoP: _________________________ | | | | | | |
| VA MEDICAL CENTER (Station Code) | QTR (1-4) | TASK ORDER/DELIVERY ORDER NUMBER | TASK ORDER DATE | TASK ORDER TOTAL PRICE | TOTAL FY TASK ORDER PRICE | |
| | | | | | 1 OCT-DEC |
| | | | | | 2 JAN-MAR |
| | | | | | 3 APR-JUN |
| | | | | | 4 JUL-SEP |
CONTRACT SUMMARY
| Summary Reporting for __________________________ Contract Number: ___________________________ PoP: _________________________ | | | | | |
| FISCAL YEAR (FY) | QUARTER | QUARTERLY TOTAL TASK ORDER PRICE | FY TOTAL TASK ORDER PRICE | TOTAL CUMULATIVE CONTRACT PRICE | |
| FY15 | 1 (1 OCT 14- 31 DEC 14) | $0.00 | | | 1 OCT-DEC |
| FY15 | 2 (1 JAN 15- 31 MAR 15) | $0.00 | | | 1 OCT-DEC |
| FY15 | 3 (1 APR 15- 30 JUN 15) | $0.00 | | | 2 JAN-MAR |
| FY15 | 4( 1 JUL 15- 30 SEP 15) | $0.00 | | | 3 APR-JUN |
| FY15 | TOTAL | | $0.00 | $0.00 | 4 JUL-SEP |
| FY 16 | 1 (1 OCT 15 - 31 DEC 15) | $0.00 | | |
| FY 16 | 2 (1 JAN 16- 31 MAR 16) | $0.00 | | |
| FY 16 | 3 (1 APR 16 - 30 JUN 16) | $0.00 | | |
| FY 16 | 4 (1 JUL 16- 30 SEP 16) | $0.00 | | |
| FY 16 | TOTAL | | $0.00 | $0.00 |
| FY 17 | 1 (1 OCT 16 - 31 DEC 16) | $0.00 | | |
| FY 17 | 2 (1 JAN 17- 31 MAR 17) | $0.00 | | |
| FY 17 | 3 (1 APR17 - 30 JUN 17) | $0.00 | | |
| FY 17 | 4 (1 JUL 17- 30 SEP 17) | $0.00 | | |
| FY 17 | TOTAL | | $0.00 | $0.00 |
| FY 18 | 1 (1 OCT 17- 31 DEC 17) | $0.00 | | |
| FY 18 | 2 (1 JAN 18- 31 MAR 18) | $0.00 | | |
| FY 18 | 3 (1 APR18 - 30 JUN 18) | $0.00 | | |
| FY 18 | 4 (1 JUL 18- 30 SEP 18) | $0.00 | | |
| FY 18 | TOTAL | | $0.00 | $0.00 |
| FY 19 | 1 (1 OCT 18 - 31 DEC 18) | $0.00 | | |
| FY 19 | 2 (1 JAN 19 -31 MAR 19) | $0.00 | | |
| FY 19 | 3 (1 APR 19 - 30 JUN 19) | $0.00 | | |
| FY 19 | 4 (1 JUL 19 - 30 SEP 19) | $0.00 | | |
| FY 19 | TOTAL | | $0.00 | $0.00 |
File details come from the government source that posted it.