11._Contractor___Invoice.xlsx
XLSX spreadsheet 32 KB Posted
- Solicitation number
- DJM-17-A44-Q-0015
About this file
11. Contractor Invoice
View the file
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| 7._SOW.pdf | ||
| DJM-17-A44-Q-0015_Signed.pdf | ||
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| 6._Past_Performance_Data_Worksheet.pdf | ||
| 9._STO.pdf |
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Text version
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: | 0 | Obligation Balance: | $ - 0 | |
| Contract #: | 0 | Previous Balance: | $ - 0 | |
| Task Order #: | 0 | Towing/Storage/Repair Invoice Total Amount: | $ - 0 | |
| Remaining Balance: | $ - 0 | |||
| U.S. Marshals Service (District) |
| Towing | Current Monthly Storage | Repair | Total for 25715 | |||||||||||||
| O/C 22012 | O/C 25715 | O/C 25715 | ||||||||||||||
| CATS ID # | Year | Make | Model | VIN | ||||||||||||
| (last 6) | Date of | |||||||||||||||
| Custody | CLIN | Rate | Start | End | CLIN | Rate | Days | Total | CLIN | Rate | Total | |||||
| 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: | 0 | Obligation Balance: | $ - 0 | |
| Contract #: | 0 | Previous Balance: | $ - 0 | |
| Task Order #: | 0 | Disposal Invoice Total Amount: | $ - 0 | |
| Remaining Balance: | $ - 0 | |||
| U.S. Marshals Service (District) |
| Disposal | Daily Sales Facilitation | |||||||||
| O/C 25226 | O/C 25226 | |||||||||
| CATS ID # | Year | Make | Model | VIN | ||||||
| (last 6) | Date of | |||||||||
| Custody | CLIN | Sale Price | Rate | Total | CLIN | Rate | Total | |||
| $ - 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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