Final Invoice Memo.pdf

PDF 88 KB Posted

Attached to
R602--COURIER SERVICE PICKUP MAIN CAMPUS (FAYETTEVILLE)
Solicitation number
36C25625Q0076
Issued by

About this file

This is a Final Invoice Memo template used to confirm there are no outstanding invoices pending against a specific contract and purchase order. The memo is structured to capture key information including the contract/order number, purchase order number, and is addressed to the Contracting Officer, Contracting Officer's Representative, or Ordering Officer.

The template provides fields for vendor representative details including name, title, contact information, and signature/date. This document appears to be a standard closeout form used in conjunction with a VA medical courier services contract (36C25625Q0076) between the Veterans Health Care System of the Ozarks in Fayetteville, AR and their Community-Based Outpatient Clinic in Springfield, MO.

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Other files

File Type Posted
36C25625Q0076 0003.docx DOCX document
36C25625Q0076 0002.docx DOCX document
36C25625Q0076-0001.pdf PDF
36C25625Q0076 0001.docx DOCX document
2015-5109.pdf PDF
VHA-V16-564-SPS-SOP-1018.pdf PDF
VHA DIRECTIVE 1116.pdf PDF
VA Privacy Training.pdf PDF
36C25625Q0076.pdf PDF
WD 2015-5087.pdf PDF
QASP.docx DOCX document
36C25625Q0076_1.docx DOCX document
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Text version

FINAL INVOICE MEMO

IN REPLY

REFER TO: Contract/Order Number: ___________________________________

Purchase Order Number: ______________________

ATTN: Contracting Officer/Contracting Officer’s Representative/Ordering Officer

According to our records, this memo confirms that there are no outstanding invoices pending against the Contract & Purchase Order referenced above.

Sincerely, Vendor Representative Name: _________________________________________________

Vendor Representative Title: ___________________________________________________

Vendor Representative Contact Information: _______________________________________

Signature: Date:

Contract or Order Number:
Purchase Order Number:
Vendor Representative:
Title:
Phone and/or Email:
Date7_af_date:

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