Attachment_9_Invoice-Sample_Summary.pdf

Contract Firm’s Name INVOICE

Main business office Address

Firm’s Billing Contact Name and information Summary

Invoice # Invoice Date

Contract # Task Order # THUs Purchased THUs Delivered Percent Complete

Item Quantity Description Unit Price Cost 1 21 FEMA 3 Bedroom Northern UFAS $10,000 210,000 2 21 Delivery Cost from Mfg to ND 500 miles 5.00 52,500 3 16 FEMA 3 Bedroom Southern Standard $10,000 160,000 4 16 Delivery Cost from Mfg to Selma THSS 500.00 8,000

TOTAL Amount $ 430,500

ALL DATA IS NOTIONAL

Signature Date

Contract Firm’s Name INVOICE Detailed invoice

Detailed Invoice

Item MHU Barcode

Bed room(s)

Unit Type Acceptance Date Description Unit Price Cost

1 Northern

UFAS

21 FEMA 3 Bedroom Northern UFAS $10,000 210,000

2 21 Delivery Cost from Mfg to ND 500 miles 5.00 52,500 3 16 FEMA 3 Bedroom Southern Standard $10,000 160,000 4 16 Delivery Cost from Mfg to Selma THSS 500.00 8,000

TOTAL Amount $ 430,500

Signature Date