3F_Standard_Form_1035_Continuation_Sheet_SAMPLE.pdf
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- Court Security Officer Services - 8(a) Set-Aside Federal contract opportunity
- Solicitation number
- DJM-17-A32-R-0001
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J.3(F) Standard Form 1035 Continuation Sheet SAMPLE
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PUBLIC VOUCHER FOR PURCHASES AND
SERVICES OTHER THAN PERSONAL
Standard Form 1035 (EG) September 1973
4 Treasury FRM 2000 1035-110
QUAN-
TITY
CONTINUATION SHEET
VOUCHER NO.
SCHEDULE NO.
SHEET NO.
U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT
NUMBER
AND DATE
OF ORDER
DATE OF
DELIVERY
OR SERVICE
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule, and other information deemed necessary)
UNIT PRICE AMOUNT
COST PER
Designed using Perform Pro, WHS/DIOR, Aug 96
Accessible FormNet VisualFill - WendlerJ
PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Standard Form 1035 (EG) September 1973 4 Treasury FRM 2000 1035-110
QUAN-
TITY
CONTINUATION SHEET
VOUCHER NO.
SCHEDULE NO.
SHEET NO.
U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT
NUMBER AND DATE OF ORDER
DATE OF DELIVERY OR SERVICE
ARTICLES OR SERVICES
(Enter description, item number of contract or Federal supply schedule, and other information deemed necessary)
UNIT PRICE
AMOUNT
COST
PER
Designed using Perform Pro, WHS/DIOR, Aug 96
| VOUCHER NUMBER: 12345678 |
| SCHEDULE NUMBER: |
| SHEET NUMBER: |
| U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: 2012-10-31 |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: 2012-10-31 |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: 2012-10-31 |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: 2012-10-31 |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: 2012-10-31 |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: 2012-10-31 |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Delivery or Service. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 1 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 2 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 3 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 4 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 5 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 6 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 7 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 8 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 9 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 10 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 11 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 12 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 13 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 14 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 15 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 16 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 17 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 18 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 19 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 20 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Date of Order. Line 21 of 21. Enter 2 digit month, 2 digit day and 4 digit year.: |
| Number of Order. Line 1 of 21: |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
Anywhere - 100 1st Street - Reg Hours CSO ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary):
Anywhere - 100 1st Street - Reg Hours LCSO
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): Anywhere - 100 1st Street - District Supervisor |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): Anywhere - 100 1st Street - Night Differential 5% |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): Anywhere 2 - 200 2nd Street - Reg Hours CSO |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): Anywhere 2 - 200 2nd Street - Reg Hours LCSO |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): TOTAL (on Form 1034) |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| ARTICLES OR SERVICES (Enter description, item number of contract or Federal supply schedule, and other information deemed necessary): |
| Number of Order. Line 2 of 21: |
| Number of Order. Line 3 of 21: |
| Number of Order. Line 4 of 21: |
| Number of Order. Line 5 of 21: |
| Number of Order. Line 6 of 21: |
| Number of Order. Line 7 of 21: |
| Number of Order. Line 8 of 21: |
| Number of Order. Line 9 of 21: |
| Number of Order. Line 10 of 21: |
| Number of Order. Line 11 of 21: |
| Number of Order. Line 12 of 21: |
| Number of Order. Line 13 of 21: |
| Number of Order. Line 14 of 21: |
| Number of Order. Line 15 of 21: |
| Number of Order. Line 16 of 21: |
| Number of Order. Line 17 of 21: |
| Number of Order. Line 18 of 21: |
| Number of Order. Line 19 of 21: |
| Number of Order. Line 20 of 21: |
| Number of Order. Line 21 of 21: |
| When stated in foreign currency, insert name of currency: |
| Amount: 24000.00000000 |
| Amount: 24000.00000000 |
| Amount: 2000.00000000 |
| Amount: 100.00000000 |
| Amount: 25000.00000000 |
| Amount: 25000.00000000 |
| Amount: |
| Amount: |
| Amount: |
| Amount: |
| Amount: |
| Amount: |
| Amount: |
| Amount: |
| Amount: |
| Amount: 110000.00000000 |
| Amount: |
| Amount: |
| Amount: |
| Amount: |
| Amount: |
| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
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| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
| Per: |
| Unit Price. Cost.: 1.00000000 |
| Unit Price. Cost.: 1.00000000 |
| Unit Price. Cost.: 1.00000000 |
| Unit Price. Cost.: 1.00000000 |
| Unit Price. Cost.: 1.00000000 |
| Unit Price. Cost.: 1.00000000 |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Unit Price. Cost.: 1.00000000 |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Unit Price. Cost.: |
| Quantity: 24000 |
| Quantity: 24000 |
| Quantity: 2000 |
| Quantity: 100 |
| Quantity: 25000 |
| Quantity: 25000 |
| Quantity: |
| Quantity: |
| Quantity: |
| Quantity: |
| Quantity: |
| Quantity: |
| Quantity: |
| Quantity: |
| Quantity: |
| Quantity: 110000 |
| Quantity: |
| Quantity: |
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| Quantity: |
File details come from the government source that posted it. Updated .