Attachment C - Advance payment form.xls

XLS spreadsheet 27 KB Posted

Attached to
GRANT DATA VERIFICATION SERVICES FOR MEXICO
Solicitation number
BPD-IAF-12-R-0005
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ATTACHMENT C

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Sheet1

ATTACHMENT C - ADVANCE PAYMENT FORM
INVOICE #
DATE:CONTRACT/DELIVERY/TASK ORDER NUMBER:
CONTRACTOR INFORMATION
Name:Mailing Address:
Phone:Fax:
Email:
Advance payment is requested for the following items:
ItemJustificationEstimated cost
TOTAL
A. METHOD OF PAYMENT Select one of the following two methods:B. BANK INFORMATIONName:Routing Information (for electronic transfer):
1. CheckAddress:
3. Electronic TransferPhone:Fax:

Sheet2

Sheet3

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