Attachment J.10 Clinical East Monthly Invoice Submission Template.xlsx

XLSX spreadsheet 40 KB Posted

Attached to
Federal Occupational Health (FOH) Clinical East Staffing Solicitation
Solicitation number
PSCFOH-ClinicalEastStaffing-Solicitation75P00125R00012-R
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Attachment J.10 is a monthly invoice submission template for a Federal Occupational Health (FOH) Clinical East Staffing contract. The template is designed for invoicing labor and travel expenses, with specific columns for site code, job title, employee name, hours worked, rates, and total amounts due. The template includes detailed sections for clinical staff such as Nurse Coordinators, Staff Nurses/RNs, and Medical Administrative Support Staff, with employees listed from various locations including MD, VA, and DC.

The related federal contract opportunity (Solicitation Number PSCFOH-ClinicalEastStaffing-Solicitation75P00125R00012-R) is a total set-aside for 8(a) small business concerns, issued by the Department of Health and Human Services. The solicitation seeks professional medical staffing, occupational health professionals, and ancillary staff for the Clinical Eastern Region. All questions must be submitted via email to the Contract Specialist Angelina Mulenga, with submission instructions detailed in Sections L and M of the solicitation document.

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INVOICE

Clinical East Monthly Invoice Submission Template

ATTACHMENT J.10

INVOICE
PLEASE MAIL YOUR REMITTANCE TO:
Contractor's Name, TAX ID Number, Duns Number
Contractor's Address
Contractor's Phone Number
Invoice Date
Invoice #
CONTRACT #
FOR THE PERIOD OF :

LABOR

CAN Site Code State Job Title Cost Center Employee Name ConCat Monthly Hrs Worked Rate Total Due Vendor Comments FOH Comments

CLINICAL TOTAL:

TRAVEL

CAN Site Code Description CC Employee Name Date(s) of Travel Total Due Vendor Comments FOH Comments

TRAVEL TOTAL:

TOTAL AMOUNT DUE:

Grand Total

MD
Z0YNurse Coordinator ICody, Sharon
A7FNurse Coordinator IGaines, Carol
A7FStaff Nurse/RNWuerstlin, Rebecca
VA
Z3UNurse Coordinator IBurns, Andrea
Occ Health Orientation Hours
DC
A54Staff Nurse/RNHarry, Beverly
A7ENurse Coordinator IRostami, Christine
Z0AMed Admin Support StaffLaw, Schae
Z0GArea Nurse ManagerSharon, Cynthia
MD
A7FStaff Nurse/RNJohnson, Nicole
Z8AStaff Nurse/RNJohnson, Nicole

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