Attachment16-SampleInvoice.docx
DOCX document 17 KB Posted
- Attached to
- SABER Construction Services Federal contract opportunity
- Solicitation number
- FA4626-14-R-0003
About this file
Attach 16 - Sample Invoice
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| KTR-Q-As_2.docx | DOCX document | |
| FA4626-14-R-0003-0002.pdf | ||
| 14-R-0003-Amend01.pdf | ||
| 14-R-0003_Updated_Amend01.pdf | ||
| KTR-Q-As-Clarification.docx | DOCX document | |
| Historical_Data.xlsx | XLSX spreadsheet | |
| KTR-Q-As.docx | DOCX document | |
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| Attachment15-Base_Entry.pdf | ||
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| Attachment1-SOW.pdf | ||
| Attachment17-SampleAdminDocs.zip | ZIP file | |
| Attachment6-MT32.pdf | ||
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| Attachment10-MT80.pdf | ||
| Attachment3-MT63.pdf | ||
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| Attachment2-TechSpecs.pdf | ||
| SABER-14-R-0003.pdf | ||
| Attachment13-Subcontractor_Consent_Form.doc | DOC document | |
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Text version
FA4626-14-R-0003
ATTACHMENT 16
SAMPLE INVOICE REQUIRED FOR TASK ORDERS
COMPANY NAME & ADDRESS
Date of Invoice
Project Title
| Invoice Number | 2 | |
| Contract Number | FA4626-XX-D-XXXX | |
| Task Order Number | XXXX |
| Task Order Amount | $100,000 | |
| Less Bond Costs | $2,500 | |
| Less Security Delays | $7,500 |
| Total Work Amount | $90,000 | ||
| Percentage of Work Completed | 10% | $9,000 |
| Retainage (as applicable) | $0.00 | |
| Bond Costs Invoiced | $2,500 | |
| Security Delays Invoiced | $0.00 | |
| Subtotal | $11,500 |
| Less Previously Billed | $2,500 | |
| Work Completed | $0.00 | |
| Bond Costs | $2,500 | |
| Security Delays | $0.00 |
Total Due this Invoice $9,000
TERMS: NET XX DAYS
POC contact information for the invoice
I hereby certify to the best of my knowledge and belief that—
(1) The amounts requested are only for performance in accordance with the specifications, terms and conditions of the contract;
(2) Payment to subcontractors and suppliers have been made from previous payments received under the contract, and timely payments will be made from the proceeds of the payment ocvered by this certification, in accordance with subcontract agreements and the requirements of Chapter 39 of Title 31, United States Code;
(3) This request for progress payments does not include any amounts which the prime contractor intends to withhold or retain from subcontractor or supplier in accordance with the terms and conditions of the subcontract; and
(4) This certification is not to be construed as final acceptance of a subcontractor’s performance.
(Signature of Authority)
| ________________________________ | _____________________ | |
| (Typed Name/Title of Authority) | (Date Signed by Authority) |
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