Contractor_Invoice_w._SOC_1_pg_w_Small_business_stmt.xlsx

XLSX spreadsheet 32 KB Posted

Attached to
Towing, Storage, Maintenance and Disposal of seized/forfeited vehicles for the District of Alaska
Solicitation number
DJM-14-A44-Q-0002
Issued by

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Invoice

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Invoice Cover Sheet

DISTRICT:CONTRACT #:
BILLING OFFICE:TASK ORDER #:
BILLING ADDRESS:INVOICE NUMBER:
INVOICE DATE:
INVOICE PERIOD OF PERFORMANCE:
OPTION YEAR:
Company Name:Telephone Number:
Point of Contact:Fax Number:
Address:Tax Identification Number:
E-Mail Addresses:

Towing, Storage & Disposal Services - USMS Vehicle Invoice

OBLIGATION CERTIFICATION
Obligation Balance$ - 0
Additional Funds$ - 0
De-obligation of Funds$ - 0
Current Obligation Balance:$ - 0
Previous Balance
Current Invoice Total Amount$ - 0
SOC 22012$ - 0
SOC 25715$ - 0
SOC 25226$ - 0
Remaining Balance$ - 0
CONTRACTOR CERTIFICATION: I hereby certify to the best of my knowledge and belief that the charges for services shown on
this invoice are being invoiced accurately per the Statement of Work.

I hereby certify that_____________ is a small business concern as defined in Federal Acquisition Regulation (FAR) subpart 2.101.

Contractor Signature Date

COR CERTIFICATION: I hereby certify to the best of my knowledge and belief that the supplies and / or services shown on this
invoice have been received and accepted.

COR Signature Date

U.S. Marshals Service Asset Forfeiture Division

INVOICE COVER SHEET &D

TowingStorageRepair Invoice

Invoice Number:0Obligation Balance:$ - 0
Contract #:0Previous Balance:$ - 0
Task Order #:0Invoice Total Amount:$ - 0
Remaining Balance:$ - 0
U.S. Marshals Service (District)
TowingCurrent Monthly StorageRepairTotal for 25715
O/C 22012O/C 25715O/C 25715
CATS ID #YearMakeModelVIN
(last 6)Date of
CustodyCLINRateStartEndCLINRateDaysTotalCLINRateTotal
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0
1$ - 0$ - 0$ - 0

TOTAL $ - 0 $ - 0 $ - 0 $ - 0 $ - 0

&D &T

&P of &N &D &T

Disposal Invoice

Invoice Number:0Obligation Balance:$ - 0
Contract #:0Previous Balance:$ - 0
Task Order #:0Invoice Total Amount:$ - 0
Remaining Balance:$ - 0
U.S. Marshals Service (District)
DisposalDaily Sales Facilitation
O/C 25226O/C 25226
CATS ID #YearMakeModelVIN
(last 6)Date of
CustodyCLINSale PriceRateTotalCLINRateTotal
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0

TOTAL $ - 0 $ - 0 $ - 0

&P of &N &D &T

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