Att C - ADV PAY FORM ES.pdf
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- Solicitation number
- 20343124R00011
About this file
This document appears to be an Advance Payment Form related to a federal contract opportunity. The form requests advance payment for certain contract-related costs and includes a justification and estimated cost for each item.
The related federal contract opportunity is for Monitoring, Evaluation and Learning (MELS) services in El Salvador. The Bureau of the Fiscal Service, on behalf of the Inter-American Foundation (IAF), is seeking applications from qualified citizens living in El Salvador to provide MELS Contractor services under an Indefinite Delivery, Indefinite Quantity (IDIQ) Labor Hour Contract. The contract will be awarded for a 12-month base period with up to two 12-month option periods. The Performance Work Statement (PWS) describes the scope of work for the MELS Contractor.
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Text version
ANEXO C
FORMULARIO DE PAGO
ANTICIPADO
FACTURA NRO.
FECHA: NÚMERO DE CONTRATO:
INFORMACIÓN DEL
CONTRATISTA
Nombre: Dirección postal:
Teléfono: Fax:
Correo electrónico:
Se solicita el pago por adelantado de los siguientes conceptos:
Concepto Justificación Costo estimado
TOTAL
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