S02. Attachment D.1 Final Invoice Memo.pdf

PDF 129 KB Posted

Attached to
NovaSure RF Controller and Fluent Fluid Management System Pro System FLT 200 Federal contract opportunity
Solicitation number
36C25625Q1044
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

Attachment D.1 is a Final Invoice Memo template designed for vendors to confirm the completion of all invoicing for a specific contract or purchase order. The document provides a standardized form for a vendor representative to declare that no outstanding invoices are pending against the referenced contract, with designated fields for contract/order numbers, vendor representative details, signature, and date.

This template is specifically associated with the Department of Veterans Affairs (VA) Network Contracting Office 16's solicitation for NovaSure RF Controller and Fluent Fluid Management System FLT 200, which is a 100% Service-Disabled Veteran Owned Small Business (SDVOSB) Set Aside procurement. The solicitation uses NAICS code 339112 with a small business size standard of 1,000 employees, and requires VetCert certification at the time of quote submission.

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S02. Attachment D.2 - Single Source Justifcation - 36C25625Q1044.pdf PDF
S02. 36C25625Q1044.pdf PDF

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Text version

ATTACHMENT D.1 FINAL INVOICE MEMO

IN REPLY

REFER TO: Contract/Order Number: ___________________________________

Purchase Order Number: ______________________

ATTN: Contracting Officer/Contracting Officer’s Representative/Ordering Officer

According to our records, this memo confirms that there are no outstanding invoices pending against the Contract & Purchase Order referenced above.

Sincerely, Vendor Representative Name: _________________________________________________

Vendor Representative Title: ___________________________________________________

Vendor Representative Contact Information: _______________________________________

Signature: Date:

Contract or Order Number:
Purchase Order Number:
Vendor Representative:
Title:
Phone and/or Email:
Date7_af_date:

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