Section_H.Appendix.Sample_Invoice.xlsx

XLSX spreadsheet 45 KB Posted Mar 29, 2013

Attached to: State of Alaska Local Service Agreement (SALSA) for the State of Alaska
Solicitation number: GS10F13LPR0001
Issued by: General Services Administration Federal Acquisition Service Management Services Center

About this file

From the source

Section H Appendix - Sample Invoice

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Other files

File	Type	Posted
RFP_Amend_04_SALSA_GS10F13LPR0001.docx	DOCX document	May 14, 2013
RFP_Amend_03_SALSA_GS10F13LPR0001.docx	DOCX document	May 3, 2013
SectionB.PriceSchedule.Anchorage.A03.xlsx	XLSX spreadsheet	May 3, 2013
SectionB.PriceSchedule.Kodiak_Island.Sitka.A03.SplitNEW.xlsx	XLSX spreadsheet	May 3, 2013
Section_A.A03.docx	DOCX document	May 3, 2013
SF_33.GS10F13LPR0001.A03.pdf	PDF	May 3, 2013
Section_L_-_Instructions _Considerations_and_Notices_to_Offerors.A03.docx	DOCX document	May 3, 2013
SectionB.PriceSchedule.Kenai_Peninsula.A03.xlsx	XLSX spreadsheet	May 3, 2013
Section_C_-_SOW.A03.docx	DOCX document	May 3, 2013
SectionB.PriceSchedule..WrangellPetersburg.A03SplitNEW.xlsx	XLSX spreadsheet	May 3, 2013
SectionB.PriceSchedule.KetchikanGateway.A03.SplitNEW.xlsx	XLSX spreadsheet	May 3, 2013
Section_G_-_Contract_Admin_Data.A02.docx	DOCX document	Apr 25, 2013
Section_F_-_Deliveries_or_Performance.A02.docx	DOCX document	Apr 25, 2013
Section_C_-_SOW.A02.docx	DOCX document	Apr 25, 2013
Section_L_-_Instructions _Considerations_and_Notices_to_Offerors.A02.docx	DOCX document	Apr 25, 2013
Section_H_-_Special_Contract_Requirements.A02.docx	DOCX document	Apr 25, 2013
Revised.ScheduleB.Anchorage.A02.xlsx	XLSX spreadsheet	Apr 25, 2013
Revised.ScheduleB.KenaiPenninsula.A02.xlsx	XLSX spreadsheet	Apr 25, 2013
RFP_Amend_02_SALSA_GS10F13LPR0001.docx	DOCX document	Apr 25, 2013
RFP_Amend_01_SALSA_GS10F13LPR0001.docx	DOCX document	Apr 5, 2013
Attachment_J.5_Line_Counts.xlsx	XLSX spreadsheet	Apr 5, 2013
SectionB.PriceSchedule.Fairbanks.North_Star.xlsx	XLSX spreadsheet	Mar 29, 2013
Section_F_-_Deliveries_or_Performance.docx	DOCX document	Mar 29, 2013
Section_I_-_Contract_Clauses.docx	DOCX document	Mar 29, 2013
Section_A.docx	DOCX document	Mar 29, 2013
Section_J_-_List_of_Docs_Exh_and_Other_Attachments.docx	DOCX document	Mar 29, 2013
Section_K_-_Reps_and_Certs.docx	DOCX document	Mar 29, 2013
SF_33.GS10F13LPR0001.pdf	PDF	Mar 29, 2013
SectionB.PriceSchedule.Kenai_Peninsula.xlsx	XLSX spreadsheet	Mar 29, 2013
Section_B_-_Part_I_and_TEP_Worksheet.docx	DOCX document	Mar 29, 2013
Section_M_-_Evaluation_Factors.docx	DOCX document	Mar 29, 2013
SectionB.PriceSchedule.Kodiak_Island.Sitka.KetchikanGateway.Wrangell-Petersburg.xlsx	XLSX spreadsheet	Mar 29, 2013
Section_E_-_Inspection_ _Acceptance.docx	DOCX document	Mar 29, 2013
SectionL.Addendum.ii.GSAForm527.pdf	PDF	Mar 29, 2013
Section_D_-_Packaging_ _Marking.docx	DOCX document	Mar 29, 2013
Section_C_-_SOW.docx	DOCX document	Mar 29, 2013
Section_H_-_Special_Contract_Requirements.docx	DOCX document	Mar 29, 2013
Section_G_-_Contract_Admin_Data.docx	DOCX document	Mar 29, 2013
SectionB.PriceSchedule.Anchorage.xlsx	XLSX spreadsheet	Mar 29, 2013
SectionB.PriceSchedule.Juneau.xlsx	XLSX spreadsheet	Mar 29, 2013
Section_L_-_Instructions _Considerations_and_Notices_to_Offerors.docx	DOCX document	Mar 29, 2013

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Invoice

INVOICE

	Contract Number:
Bill To:
GSA Financial Service Center
System-CA No. 074	Account Number:
401 W. Peachtree St. NW Suite 800	Invoice Date:
Atlanta, GA 30308-3510	Invoice Number:

AMOUNT

Previous Balance

Payment(s) - Thank You!

Adjustment(s):

Past Due Balance $ - 0

Current Charges

Total Amount Due		$ - 0
	Amount Due in Full By:
Billing Period: BILLING SUMMARY

Monthly Recurring Charges:

Other Charges and Credits:

Usage Charges:

Remit Payment To:

Order Completion Detail

Customer

Worksite

Billing Account Number

Phone Number

Circuit Number

Add or Disconnect

Vendor Order Number

PON

CLIN

Description

Quantity

Unit Price

Total Prorated Charge

Total Non-Recurring Charge

Total Charges

Vendor Completion Date

Start Date

End Date

999

001

907-555-1212

001H

ANALOG PBX TRUNK

7/24/12

7/2/12

7/24/12

031	542	907-555-1234	D	03A02	ADDITIONAL DIRECTORY LISTING	1
031	542	907-555-1234	D	03A02	ADDITIONAL DIRECTORY LISTING	1
							7/24/12	7/2/12	7/24/12

- - Total Charges

Recurring

Customer	Worksite	Billing Account Number	Phone Number	Circuit Number	CLIN	Description	Quantity	Unit Price	Total Charges	Customer-Worksite Subtotal	Vendor Completion Date	Service Start Date	Service End Date
001	293
001	293
001	293
001	293
001	293					Subtotal for Customer 001, Worksite 293

001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579
001	579	Subtotal for Customer 001, Worksite 579

002	542
002	542
002	542
002	542
002	542
002	542
002	542
002	542
002	542	Subtotal for Customer 002, Worksite 542

002	563
002	563
002	563
002	563	Subtotal for Customer 002, Worksite 563

003	542
003	542
003	542
003	542
003	542
003	542
003	542
003	542
003	542
003	542
003	542
003	542
003	542
003	542	Subtotal for Customer 003, Worksite 542

006	286
006	286
006	286
006	286
006	286	Subtotal for Customer 006, Worksite 286

008	531
008	531	Subtotal for Customer 008, Worksite 531

009	542
009	542
009	542
009	542
009	542
009	542
009	542
009	542
009	542
009	542
009	542
009	542	Subtotal for Customer 009, Worksite 542

010	542
010	542
010	542
010	542	Subtotal for Customer 010, Worksite 542

011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011
011	011	Subtotal for Customer 011, Worksite 011

020	055
020	055
020	055
020	055	Subtotal for Customer 020, Worksite 055

021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562
021	562	Subtotal for Customer 021, Worksite 562

024	201
024	201
024	201	Subtotal for Customer 024, Worksite 201

031	542
031	542
031	542
031	542
031	542
031	542	Subtotal for Customer 031, Worksite 542

032	542
032	542	Subtotal for Customer 032, Worksite 542

037	518
037	518	Subtotal for Customer 037, Worksite 518

042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542
042	542	Subtotal for Customer 042, Worksite 542

043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542
043	542	Subtotal for Customer 043, Worksite 542

044	530	101T1ZFSALMORDYHAASALMOR59DC0
044	530
044	530
044	530
044	530
044	530
044	530
044	530
044	530
044	530
044	530
044	530
044	530
044	530
044	530		Subtotal for Customer 044, Worksite 530

045	011
045	011
045	011
045	011
045	011	Subtotal for Customer 045, Worksite 011

045	557	101T1ZFSALMORYHHAASALMOR59DC0
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557
045	557		Subtotal for Customer 045, Worksite 557

046	046
046	046
046	046
046	046
046	046
046	046
046	046	Subtotal for Customer 046, Worksite 046

047	047
047	047
047	047	Subtotal for Customer 047, Worksite 047

056	004
056	004	Subtotal for Customer 056, Worksite 004

067	542
067	542
067	542
067	542
067	542
067	542
067	542	Subtotal for Customer 067, Worksite 542

107	706
107	706
107	706	Subtotal for Customer 107, Worksite 706

109	542
109	542
109	542
109	542
109	542	Subtotal for Customer 109, Worksite 542

203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706
203	706	Subtotal for Customer 203, Worksite 706

208	200
208	200
208	200	Subtotal for Customer 208, Worksite 200

208	208
208	208
208	208
208	208	Subtotal for Customer 208, Worksite 208

211	211
211	211
211	211
211	211
211	211
211	211
211	211
211	211
211	211	Subtotal for Customer 211, Worksite 211

234	311
234	311	Subtotal for Customer 234, Worksite 311

542	542
542	542	Subtotal for Customer 542, Worksite 542

703	540
703	540	Subtotal for Customer 703, Worksite 540

798	544
798	544	Subtotal for Customer 798, Worksite 544

999	001
999	001
999	001
999	001
999	001	Subtotal for Customer 999, Worksite 001

- - - Total Charges

Usage

Customer

Worksite

Billing Account Number

Phone Number

Origin Phone Number

Call Description

Origin City

Origin State

Destination Phone Number

Destination City

Destination State

Call Date

Call Time

Call Duration/# of Calls

Usage Rate

Total Usage Amount

Cust-Wksite Subtotal

045

557

Directory Assistance

045

557

Directory Assistance

045

557

Evening Dialed

045

557

Directory Assistance

045

557

Directory Assistance

045

557

Directory Assistance

045

557

Subtotal for Customer 045, Worksite 557

203	706	Directory Assistance
203	706	Directory Assistance
203	706	Subtotal for Customer 203, Worksite 706

- - Total Charges

&"Arial,Bold"AT&&T Proprietary (Internal Use Only)&"Arial,Regular" Not for use or disclosure outside the AT&&T companies except under written agreement

File details come from the government source that posted it. Updated Nov 14, 2017.