Attachment 19 - Sample Recipient Invoice.docx
DOCX document 26 KB Posted
- Solicitation number
- 75N95024R00040
About this file
This document is a sample recipient invoice related to a federal contract opportunity. The invoice is for services provided under Contract No. [insert contract number] with the National Institutes of Health (NIH), Department of Health and Human Services. The invoice includes details such as the invoice date, contractor information, sold-to and ship-to information, a list of items with quantities and unit prices, a subtotal, shipping/handling, and total due. The invoice also includes payment instructions and additional terms and conditions, such as the non-returnable nature of research materials and the potential for future requests to be denied for failure to pay.
The related federal contract opportunity is for "Scientific Management and Support to the National Institute of Mental Health (NIMH) Repository and Genomics Resource (NRGR)". The NRGR is a centralized national biorepository funded by the NIH, which provides DNA, RNA, cell lines, and other biospecimens to the research community for studies on psychiatric disorders. The purpose of this acquisition is to obtain services to sustain, enhance, and enrich the NRGR to facilitate and accelerate the scientific understanding of the genetic risk architecture and basic biology underlying mental disorders.
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SAMPLE RECIPIENT INVOICE
| INVOICE | Date: |
| On behalf of the [insert NIH Institute], | Invoice No. |
National Institutes of Health, DHHS, under Contract No. [insert contract number]
| [Contractor’s Name] | Sold To: [Name] | Ship To: [Name] | |
| [Street Address] | [Company Name] | [Company Name] | |
| [City, State, ZIP Code] | [Street Address] | [Street Address] | |
| [Phone] | [City, State, ZIP Code] | [City, State, ZIP Code] | |
| [Fax] | [Phone] | [Phone] | |
| [Email Address] | [Email Address] | [Email Address] |
| Quantity |
| Item |
| Unit Price |
| Total |
| $ |
| $ |
Subtotal Shipping/Handling Total Due
PAYMENT INSTRUCTIONS
Remit payment to [Contractor’s Name] in U.S. dollars by check or other method acceptable to [Contractor’s Name] within 15 calendar days from date of invoice. All payments shall be made payable to [Contractor’s Name]. Include copy of invoice with payment.
ADDITIONAL TERMS & CONDITIONS
1. Research materials are not returnable, and the costs associated with providing them, including shipping and handling, are not refundable.
2. Failure to pay invoice may result in future requests being denied.
File details come from the government source that posted it. Updated .