36C79118R0006-007.docx
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- Solicitation number
- 36C79118R0006
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36C79118R0006 ATTACHMENT 7.docx
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DEPARTMENT OF VETERANS AFFAIRS - DENVER LOGISTIC CENTER
CONTRACTOR'S REPORT OF SALES - HEARING AID REPAIRS & PARTS/ACCESSORIES
| 1. Report For Period: (Quarter / Year) |
| This report is required each quarter regardless of whether sales under the contract were made. |
2. Contract No. 36C79118XXXXX
To:
FINANCE DIVISION (OO1AL-M1C)
VA DENVER LOGISTICS CENTER PO BOX 25166
DENVER, CO 80225-0166
4. Contractor Name, Address, & Zip Code
SALES REPORT (If no sales whatsoever for items awarded were made during the period covered by this report, enter "0" in approproate columns)
3. CLIN
Group, Category, Shell Type
5. Government Agency ( List Agencies)
6. Total Sales
Department of Veterans Affairs (excluding sales to DALC)
U.S. Army
U.S. Navy
U.S. Air Force
Indian Health Service
Health & Human Services
Bureau of Prison
Flat Fee Repairs ITE
$0
Flat Fee Repairs OE
Flat Fee Repairs EG
Flat Fee Repairs OB
Flat Fee Repair Remotes
Flat Fee Repairs Wireless Receivers
Flat Fee Repairs Wireless Transmitters
Hearing Aid Parts & Accessories
Flat Fee Repairs RIC
| 7. Grand Total Sales (sum of column 6) |
| $0 |
| 8. Customer User Fee - Amount Due (3.846% of Total Sales) |
| $0 |
Certification: As required by the conditions of the contract, reported above are all Government sales for item(s) under the contract identified. This report is accurate to the best of our knowledge and belief.
Authorized Official (Print name and title)
Date
Signature Authorized Official
Phone:
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