Attachment 42-Missing Items Invoice FTC-SSD-20.pdf
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- Attached to
- Training Support Services
- Solicitation number
- 70LART25RPFB00006
About this file
This is a Missing Items Invoice form (FTC-SSD-20) used by the Department of Homeland Security Federal Law Enforcement Training Centers (FLETC) to document items that students failed to return. The form includes fields for student name, class number, graduation date, and allows listing of up to 7 missing items with their quantities, sizes, unit prices, and extended prices.
The form requires signatures from both the student and staff, with payment to be made at www.pay.gov. The document specifies a distribution system with three copies - the original for the student, a duplicate for Financial Management, and a triplicate for the originator, though it notes "ONLY NEEDS 1 CARBON COPY." This appears to be a template form last updated in June 2017 that would be used to process charges for unreturned training equipment or materials at FLETC facilities.
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Text version
DEPARTMENT OF HOMELAND SECURITY
FEDERAL LAW ENFORCEMENT TRAINING CENTERS
MISSING ITEMS INVOICE
Name:
Last First MI
Class No.
Grad.
Date DATE:
FLETC records indicate you failed to return the below listed items
QUANTITY ITEM(S) SIZE
UNIT
PRICE
EXTENDED
PRICE
TOTAL
DUE
Please pay total due at www.pay.gov
PROMPT ACTION IS MANDATORY.
ORIGINATOR:
TITLE:
STUDENT
SIGNATURE:
STAFF
SIGNATURE:DISTRIBUTION:
Original: Student Duplicate: Financial Management Triplicate: Originator
ONLY NEEDS 1 CARBON COPY.
FTC-SSD-20 (6/17) Page 1
9.0.0.2.20120627.2.874785
DEPARTMENT OF HOMELAND SECURITY
FEDERAL LAW ENFORCEMENT TRAINING CENTERS
MISSING ITEMS INVOICE
Last First
MI
FLETC records indicate you failed to return the below listed items
QUANTITY
DESCRIPTION row 1
ITEM(S)
Stock Number row 1
SIZE
Location row 1
UNIT PRICE
New row 1
EXTENDED PRICE
Used row 1 Please pay total due at www.pay.gov
PROMPT ACTION IS MANDATORY.
DISTRIBUTION:
Original: Student Duplicate: Financial Management Triplicate: Originator
ONLY NEEDS 1 CARBON COPY.
FTC-SSD-20 (6/17)
STAFF
SIGNATURE::
| Graduation Date 2 digit month, 2 digit day, 4 digit year:: |
| Date 2 digit month, 2 digit day, 4 digit year: |
File details come from the government source that posted it. Updated .