SF1449pg3.pdf
PDF 5 KB Posted
- Attached to
- Forensic Psychologist Federal contract opportunity
- Solicitation number
- RFQ40105000307
About this file
1-4 Form 1449 pg3
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF1449pg2.pdf | ||
| PsychologistSolicitation07.pdf | ||
| TableofContents.pdf | ||
| SF1449pg1.pdf | ||
| Noticetobidders.pdf |
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Text version
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER
ADDITIONAL INFORMATION:
CONTRACT NO.: REQUISITION NUMBER
07-0201
AWARD/EFF. DATE
PAGE OF PAGES
3 3
32a. QUANTITY IN COLUMN 21 HAS BEEN
ACCEPTED AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED RECEIVED INSPECTED
32b. SIGNATURE OF AUTHORIZED GOVT. REPRESENTATIVE 32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED
CORRECT FOR
FINALPARTIAL
36. PAYMENT 37. CHECK NUMBER
COMPLETE PARTIAL FINAL
39. S/R VOUCHER NUMBER38. S/R ACCOUNT NUMBER 40. PAID BY
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)
41c. DATE 42b. RECEIVED AT (Location)
STANDARD FORM 1449 (REV. 3/2005) BACK
42d. TOTAL CONTAINERS42c. DATE REC'D (YY/MM/DD)
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