9. Contractor Invoice.xlsx

XLSX spreadsheet 24 KB Posted

Attached to
AFD: Transportation, Storage and Disposal of Chemicals for the Central District of California
Solicitation number
15M50022QA4400005
Issued by

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15M50022QA4400005-0001 Signed.pdf PDF
Q and A.pdf PDF
7. MSDS.pdf PDF
2. Additional Clauses.pdf PDF
1. SF1449 Continuation.pdf PDF
3. Instructions to Offerors..pdf PDF
4. Offeror Information Page.pdf PDF
15M50022QA4400005.pdf PDF
5. Statement of Work.pdf PDF
8. Photos.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 25227$ - 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

U.S. Marshals Service (District)

Transportation & SuppliesStorage & Disposal
O/C 22012O/C 25227
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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