9. Contractor Invoice.xlsx

XLSX spreadsheet 33 KB Posted

Attached to
AFD: Transportation, Storage and Disposal of Chemicals for the Central District of California
Solicitation number
15M50023QA4400010
Issued by

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Other files

File Type Posted
1. SF1449 Continuation - Updated.pdf PDF
Q and A - Updated.pdf PDF
15M50023QA4400010 -0002 Signed.pdf PDF
Q and A.pdf PDF
15M50023QA4400010 -0001.pdf PDF
5. Statement of Work.pdf PDF
8. Photos.pdf PDF
3. Instructions to Offerors.pdf PDF
1. SF1449 Continuation.pdf PDF
2. Additional Clauses.pdf PDF
15M50023QA4400010 - CO Signed.pdf PDF
4. Offeror Info Page.pdf PDF
7. Material Safety Data Sheets.pdf PDF
6. Pricing Schedule.xlsx XLSX spreadsheet
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Invoice Cover Sheet

DISTRICT:CONTRACT #:
BILLING OFFICE:TASK ORDER #:
BILLING ADDRESS:INVOICE NUMBER:
INVOICE DATE:
INVOICE PERIOD OF PERFORMANCE:
OPTION YEAR:
Company Name:Telephone Number:
Point of Contact:Fax Number:
Address:Tax Identification Number:
E-Mail Addresses:

Storage & Disposal Services - USMS Chemical Invoice

OBLIGATION CERTIFICATION
Obligation Balance$ - 0
Additional Funds$ - 0
De-obligation of Funds$ - 0
Current Obligation Balance:$ - 0
Previous Balance
Current Invoice Total Amount$ - 0
SOC 22012$ - 0
SOC 25226$ - 0
Remaining Balance$ - 0
CONTRACTOR CERTIFICATION: I hereby certify to the best of my knowledge and belief that the charges for services shown on
this invoice are being invoiced accurately per the Statement of Work.

I hereby certify that_____________ is a small business concern as defined in Federal Acquisition Regulation (FAR) subpart 2.101.

Contractor Signature Date

COR CERTIFICATION: I hereby certify to the best of my knowledge and belief that the supplies and / or services shown on this
invoice have been received and accepted.

COR Signature Date

U.S. Marshals Service Asset Forfeiture Division

INVOICE COVER SHEET &D

TransportStorageSupplie Invoice

Invoice Number:0Obligation Balance:$ - 0
Contract #:0Previous Balance:$ - 0
Task Order #:0Invoice Total Amount:$ - 0
Remaining Balance:$ - 0

Storage & Disposal Services - USMS Chemical Invoice

Transportation & SuppliesStorage & Disposal
O/C 22012O/C 25226
CATS ID #Date of
CustodyCLINRateStartEndCLINRatePallets/DrumsTotalTotal
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0

TOTAL $ - 0 $ - 0 $ - 0

&P of &N &D &T

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