Attachment 4 - Sample Delivery Ticket and Invoice or DTI.docx

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Bottled Water, country of Senegal
Solicitation number
SPE303-20-Q-0055
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Attachment 4

SAMPLE OF DELIVERY TICKET (DT) and INVOICE

OR

DELIVERY TICKET INVOICE (DTI)

Company__________________________ Address __________________________ Telephone# ____________________ Fax# _____________________

Contract No/BPA: SPE303-20-A- Date:_______________

PIID No.: ______ PON:

DoDACC/Delivery To: Date Delivered _______________

Delivery Ticket No: _________ or Invoice No: _______________ or Delivery Ticket Invoice (DTI): __________

Item Number
Nomenclature
Quantity
Unit Price

Pkg Pkg Delivered Total Amount

0001
Water non carbonated, 0.5 liter

12 bottles/carton

1.00

1.00

EXAMPLE ONLY

Total
$3.00

For information/issues, contact: _________________________

_________________________________________________________________
Printed Name of Vendor Representative/DatePrinted Name Receiver/ Date
_____________________________________________________________________
Signature of Vendor Representative/DateSignature Receiver/ Date

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