Contractor Invoice Attachment 5.xls

XLS spreadsheet 52 KB Posted

Attached to
Towing, storage, maintenance and disposal of seized/forfeited vehicles for the District of Vermont
Solicitation number
DJMS-10-Q-0008
Issued by

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Invoice and Invoice Cover Page

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Invoice Cover Sheet

DISTRICT:CONTRACT #:
BILLING OFFICE:INVOICE NUMBER:
BILLING ADDRESS: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
Previous Balance
Additional Obligation
Current Invoice Total Amount$ - 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.
Contractor SignatureDate
COTR 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.
COTR SignatureDate

&CU.S. Marshals Service Asset Forfeiture Division

INVOICE COVER SHEET&R&D

&LAttachment 5

TowingStorageRepair Invoice

Invoice Number:Obligation Balance:$ - 0
Contract #:Previous Balance:$ - 0
Invoice Total Amount:$ - 0
Remaining Balance:$ - 0
U.S. Marshals Service (District)
TowingCurrent Monthly StorageRepair
O/C 2206O/C 2512O/C 2507
CATS ID #YearMakeModelVIN
(last 6)Date of
CustodyCLINRateStartEndCLINRateDaysTotalCLINRateTotal
$ - 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
$ - 0$ - 0
$ - 0$ - 0
TOTAL$ - 0$ - 0$ - 0$ - 0
TowingCurrent Monthly StorageRepair
O/C 2206O/C 2512O/C 2507
CATS ID #YearMakeModelVIN
(last 6)Date of
CustodyCLINRateStartEndCLINRateDaysTotalCLINRateTotal
$ - 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
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
TOTAL$ - 0$ - 0$ - 0$ - 0
TowingCurrent Monthly StorageRepair
O/C 2206O/C 2512O/C 2507
CATS ID #YearMakeModelVIN
(last 6)Date of
CustodyCLINRateStartEndCLINRateDaysTotalCLINRateTotal
$ - 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
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
$ - 0$ - 0
TOTAL$ - 0$ - 0$ - 0$ - 0
GRAND TOTAL$ - 0$ - 0$ - 0$ - 0

&LAttachment 5&C&P of &N

Disposal Invoice

Invoice Number:Obligation Balance:$ - 0
Contract #:Previous Balance:$ - 0
Invoice Total Amount:$ - 0
Remaining Balance:$ - 0
U.S. Marshals Service (District)
DisposalRelease AgreementDaily Sales Facilitation
O/C 2567O/C 2567O/C 2567
CATS ID #YearMakeModelVIN
(last 6)Date of
CustodyCLINSale PriceRateTotalCLINRateCLINRateTotal
$ - 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$ - 0

&LAttachment 5&C&P of &N

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