NEW VENDOR CODE FORM-2a1.xls

XLS spreadsheet 57 KB Posted

Attached to
Emergency Repair of Richland Watershed Sites 31, and 110, Navarro County, TX - EWP
Solicitation number
AG-7442-S-10-0054
Issued by

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Vendor Code Sheet

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Other files

File Type Posted
Long AbstractSites 31 and 110.xlsx XLSX spreadsheet
Attachment 1 to Soliciation Site Showing.doc DOC document
Drawings Site 31.pdf PDF
Specification for Site 110.pdf PDF
Specification for Site 31.pdf PDF
TX146_dvb.htm HTM file
SWPPP Site 110.pdf PDF
AG-7442-S-10-0054.pdf PDF
SAFETY PROGRAM.doc DOC document
SWPPP Site 31.pdf PDF
Drawings Site 110.pdf PDF
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Sheet2

VENDOR CODE FORM
1. Action2. Vendor Code (SSN, Fed ID #)3. Vendor Name (Field allows only 26 characters)
NewModify
4. Address Line 1 (Required - Field allows only 30 characters)7. Phone (Required)
5. Address Line 2 (Optional - Field allows only 30 characters)8. Vendor Type (Required)
6. Address Line 3 (City, State, Zip)12. Payment Hold15. Prompt Pay Type
13. DUNS Number:
14. 1099 Vendor14a. 1099 Vendor (Name/Address)CCR DATABASE
Use only for "Assign" payments. Block 14a should always be NO.SHOULD SHOULD NOT

be registered in the CCR Database.

Vendors doing business with USDA under the terms of any contracts, basic agreements, basic ordering agreements, or blanket purchase agreements are required to register.
EFT INFORMATION (Mandatory) Either fill in the banking information or staple a cancelled check in the space provided.
Bank Account NumberAccount TypeBank Routing Number
Checking Saving
Tracking notes for Submitting Office
Reference to our Contract Number:
SPECIAL NOTES FOR INDIVIDUAL INPUTTING VENDOR RECORD:

This block is reserved for cancelled check, copy of check, to display Banking information.

Bank Name

Sheet1

Vendor Code Form
1. ACTION2. VENDOR CODE (SSN, FEDERAL ID)3. VENDOR NAME
NewModify
4. ADDRESS LINE 17. PHONE
5. ADDRESS LINE 28. VENDOR TYPE
6. ADDRESS LINE 39. VENDOR/PROVIDER CODE(CIRCLE ONE)
V P B
10. CUSTOMER ACCOUNT VXP #)11. PAYMENT HOLD12. 1099 VENDOR
15. PROMPT PAY TYPE

File details come from the government source that posted it. Updated .