2.04o Attachment
15 KB Posted
- Attached to
- DPM Schedule I Outbound Services
- Solicitation number
- N0060417R3004
About this file
Attachment (15) - Invoice Submission Form
Text of this file
SI CONTRACTOR FORM
SCHEDULE I (BASE YEAR)
Date of Order: Contract Number: Order Number:
Member's Name: Consignee:
Estimated Weight: Actual Weight: Date Services Provided:
P/U Address: Delivery Address:
Services Provided:
Additional Services:
| INVOICE INFORMATION | |||||||||
| ITEM | QUANTITY | UNIT | UNIT PRICE | TOTAL | Additional ITEM | QUANTITY | UNIT | UNIT PRICE | TOTAL |
| 0001AA | NCWT | ||||||||
| 0001AB | NCWT | ||||||||
| 0001AC | NCWT | ||||||||
| 0001AD | NCWT | ||||||||
| 0002AA | NCWT | ||||||||
| 0002AB | NCWT | ||||||||
| 0003AA | NCWT | ||||||||
| 0003AB | NCWT | ||||||||
| 0003AC | NCWT | ||||||||
| 0003AD | NCWT | ||||||||
| 0003AE | NCWT | ||||||||
| 0003AF | NCWT | ||||||||
| 0004AA | NCWT | ||||||||
| 0004AB | NCWT | ||||||||
| 0004AC | NCWT | ||||||||
| 0004AD | NCWT | ||||||||
| 0005AA | NCWT | ||||||||
| 0005AB | NCWT | ||||||||
| 0005AC | NCWT | ||||||||
| 0005AD | NCWT | ||||||||
| 0006AA | NCWT | ||||||||
| 0006AB | NCWT | ||||||||
| 0006AC | NCWT | ||||||||
| 0006AD | NCWT | ||||||||
| 0007AA | NCWT | ||||||||
| 0007AB | NCWT | ||||||||
| 0008AA | NCWT | ||||||||
| 0008AB | NCWT | ||||||||
| 0009AA | NCWT | ||||||||
| 0010AA | EA | ||||||||
| 0010AB | EA | ||||||||
| 0010AC | Cu ft or fraction thereof | ||||||||
| 0011AA | EA | ||||||||
| 0011AB | EA | ||||||||
| 0011AC | EA | ||||||||
| 0012AA | EA | ||||||||
| 0012AB | EA |
If excess cost is involved provide details regarding additional payments (members cost):
TOTAL INVOICE AMOUNT: TOTAL WEIGHT:
SAMPLE
N00604-15-R-3017 Attachment (15) – Invoice Submission Form
SAMPLE
Other files
| File | Type | Posted |
|---|---|---|
| 2.12_Conform_copy.pdf | ||
| 2.12_Amendment_0001.pdf | ||
| 2.04 N00604-17-R-3004 Final.pdf | ||
| 2.04q Attachment | — | |
| 2.04m Attachment | — | |
| 2.04i Attachment | — | |
| 2.04c Attachment | — | |
| 2.04p Attachment | — | |
| 2.04e Attachment | — | |
| 2.04j Attachment | — | |
| 2.04d Attachment | — | |
| 2.04r Attachment | — | |
| 2.04f Attachment | — | |
| 2.04g Attachment | — | |
| 2.04s Attachment | — | |
| 2.04b Attachment | — | |
| 2.08 QASP Sept 2016.doc | DOC document | |
| 2.04l Attachment | — | |
| 2.04a Attachment | — | |
| 2.04k Attachment | — | |
| 2.04h Attachment | — | |
| N0060417R3004_DRAFT_PWS.pdf |
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