Attachment_D,_SFF_Transmittal_Example.pdf
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- Attached to
- HOC Financial Support Services Federal contract opportunity
- Solicitation number
- 86548B18R00001
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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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