Attachment_D,_SFF_Transmittal_Example.pdf

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Attached to
HOC Financial Support Services Federal contract opportunity
Solicitation number
86548B18R00001
Issued by
Department of Housing and Urban Development Denver Regional Office

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Attachment D, SFF Transmittal Example

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Text version

Misc. Transmittal

Transmittal Number: SFF8A1800032 Property Manager: COMPANY

Area: 8A Atlanta PM NAID: COMPANY NAID

Created By: z-zzzzzz Payee Name: PAYEE NAME

Date Created: 10/20/2017 Payee NAID: PAYEE NAID

Current Status: DB Payee FIN/SSN: XX-XXXXXXX

Current Status Date: 11/01/2017 Contract Number: AB-CDEFG-01-D-01

Transmittal Total: 10,500.00 Contract Period: 2

Number of Invoices: 1 Payee Address:

Payment Type: Non-Prompt 15 ANYWHERE CIRCLE

Check/EFT Flag: EFT UNITED STATES 20587

PP Date/Amount: 11/01/2017 Remit Address: COMPANY NAME

Net Amount: 10,500.00 COMPANY REMIT ADDRESS

MARIETTA GA 30067

Prepare/Reviewer/Approver Certification -

Disbursements are being made under U.S. Department of Treasury delegation of authority based upon this certification.❑To the best of my knowledge, all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate. Warning: HUD will prosecute false claims and statements.Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)

Preparer's Signature

Date (mm/dd/yyyy) Title and Phone

Reviewer's Signature Date (mm/dd/yyyy) Title and Phone

Approver's Signature Date (mm/dd/yyyy) Title and Phone

Section IV: For HUD Certifying Officer's Use Only -

CID CID CID CID ElPursuant to authority vested in me, I certify that this transmittal and its attachments are correct and p payment.

Certifying Officer's Signature Date (mm/dd/yyyy) Title and Phone

H56750 Text Box PWS Attachment D HOC Financial Support Services Example SFF Transmittal

Area: 8A Atlanta PM NAID: COMPANY NAID

Created By: z-zzzzzz Payee Name: PAYEE NAME

Date Created: 10/20/2017 Payee NAID: PAYEE NAID

Current Status: DB Payee FIN/SSN: XX-XXXXXXX

Current Status Date: 11/01/2017 Contract Number: AB-CDEFG-01-D-01

Transmittal Total: 10,500.00 Contract Period: 2

Number of Invoices: 1 Payee Address:

Payment Type: Non-Prompt 15 ANYWHERE CIRCLE

Check/EFT Flag: EFT UNITED STATES 20587

PP Date/Amount: 11/01/2017 Remit Address: COMPANY NAME

Net Amount: 10,500.00 COMPANY REMIT ADDRESS

MARIETTA GA 30067

Invoice

ID

Seq

Invoice

Date

Case

Number

Address City State Zip Code Line Item

Description

PC Amount Per

Post Code

A8A8-032 1 10/20/2017 011- VEGA ALTA PR 00692-0000 APPRAISAL FEES AP 350.00

A8A8-032 2 10/20/2017 011- LINA CAROLINA PR 00985-0000 APPRAISAL FEES AP 350.00

A8A8-032 3 10/20/2017 011- BAYAMON PR 00957-0000 APPRAISAL FEES AP 350.00

A8A8-032 4 10/20/2017

011-

JACKSONVIL

LE

FL 32277-0000 APPRAISAL FEES AP 350.00

A8A8-032 5 10/20/2017 011- PALATKA FL 32177-0000 APPRAISAL FEES AP 350.00

A8A8-032 6 10/20/2017 011- VERO BEACH FL 32967-0000 APPRAISAL FEES AP 350.00

A8A8-032 7 10/20/2017

011-

PORT SAINT

LUCIE

FL 34983-0000 APPRAISAL FEES AP 350.00

A8A8-032 8 10/20/2017

011-

LAUDERDAL

E LAKES

FL 33309-0000 APPRAISAL FEES AP 350.00

A8A8-032 9 10/20/2017

011-

BOCA

RATON

FL 33428-0000 APPRAISAL FEES AP 350.00

A8A8-032 10 10/20/2017

011-

AGUAS

BUENAS

PR 00703-0000 APPRAISAL FEES AP 350.00

A8A8-032 11 10/20/2017 011- WAUCHULA FL 33873-0000 APPRAISAL FEES AP 350.00

A8A8-032 12 10/20/2017 011- MULBERRY FL 33860-0000 APPRAISAL FEES AP 350.00

A8A8-032 13 10/20/2017

011-

GREENACRE

S

FL 33415-0000 APPRAISAL FEES AP 350.00

A8A8-032 14 10/20/2017 011- FORT WHITE FL 32038-0000 APPRAISAL FEES AP 350.00

A8A8-032 15 10/20/2017 011- DELTONA FL 32738-0000 APPRAISAL FEES AP 350.00

A8A8-032 16 10/20/2017

011-1

DAYTONA

BEACH

FL 32117-0000 APPRAISAL FEES AP 350.00

A8A8-032 17 10/20/2017 011- LAKE CITY FL 32024-0000 APPRAISAL FEES AP 350.00

A8A8-032 18 10/20/2017 011- STARKE FL 32091-0000 APPRAISAL FEES AP 350.00

Area: 8A Atlanta PM NAID: COMPANY NAID

Created By: z-zzzzzz Payee Name: PAYEE NAME

Date Created: 10/20/2017 Payee NAID: PAYEE NAID

Current Status: DB Payee FIN/SSN: XX-XXXXXXX

Current Status Date: 11/01/2017 Contract Number: AB-CDEFG-01-D-01

Transmittal Total: 10,500.00 Contract Period: 2

Number of Invoices: 1 Payee Address:

Payment Type: Non-Prompt 15 ANYWHERE CIRCLE

Check/EFT Flag: EFT UNITED STATES 20587

PP Date/Amount: 11/01/2017 Remit Address: COMPANY NAME

Net Amount: 10,500.00 COMPANY REMIT ADDRESS

MARIETTA GA 30067

Invoice

ID

Seq

Invoice

Date

Case

Number

Address City State Zip Code Line Item

Description

PC Amount Per

Post Code

A8A8-032 19 10/20/2017 011- MADISON FL 32340-0000 APPRAISAL FEES AP 350.00

A8A8-032 20 10/20/2017 011- OCALA FL 34476-0000 APPRAISAL FEES AP 350.00

A8A8-032 21 10/20/2017 011- VEGA ALTA PR 00692-0000 APPRAISAL FEES AP 350.00

A8A8-032 22 10/20/2017 011- ORLANDO FL 32807-0000 APPRAISAL FEES AP 350.00

A8A8-032 23 10/20/2017 011- ORLANDO FL 32803-0000 APPRAISAL FEES AP 350.00

A8A8-032 24 10/20/2017

011-

WINTER

HAVEN

FL 33884-0000 APPRAISAL FEES AP 350.00

A8A8-032 25 10/20/2017 011- TOA BAJA PR 00949-0000 APPRAISAL FEES AP 350.00

A8A8-032 26 10/20/2017

011-

BAYAMON PR 00959-0000 APPRAISAL FEES AP 350.00

A8A8-032 27 10/20/2017

GUAYNABO PR 00965-0000 APPRAISAL FEES AP 350.00

A8A8-032 28 10/20/2017 011- LAS PIEDRAS PR 00771-0000 APPRAISAL FEES AP 350.00

A8A8-032 29 10/20/2017

FAJARDO PR 00738-0000 APPRAISAL FEES AP 350.00

A8A8-032 30 10/20/2017 011- YABUCOA PR 00767-0000 APPRAISAL FEES AP 350.00

Total Due 10,500.00

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