RFQ-DC-15-00182_Att_8_Invoice_Template_Aug_13.docx
DOCX document 16 KB Posted
- Attached to
- Student Services Contract for ORD/NHEERL/MED Dulut Federal contract opportunity
- Solicitation number
- RFQ-DC-15-00182
About this file
RFQ-DC-15-00182 Att 8 Invoice Template
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| RFQ-DC-15-00182_Att_3_Agency_Security_Reqts.docx | DOCX document | |
| RFQ-DC-15-00182_Att_5_How_to_Reg.docx | DOCX document | |
| RFQ-DC-15-00182_Att_6_Evaluation_Factors.docx | DOCX document | |
| RFQ-DC-15-00182_ANNOUNCEMENT.docx | DOCX document | |
| RFQ-DC-15-00182_Att_4_AddtTermsCond.docx | DOCX document | |
| RFQ-DC-15-00182_Att_7_Student_Ack.docx | DOCX document | |
| RFQ-DC-15-00182_Att_1_SOW.docx | DOCX document | |
| Sol_RFQ-DC-15-00182.pdf | ||
| RFQ-DC-15-00182_Att_2_Clause_List.docx | DOCX document |
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Text version
INVOICE
Email Invoices to: RTPReceiving@epa.gov
Invoice No: _________ Purchase Order #: _______________________ Date: ______________
Vendor Name: _________________________
DUNS #: _________________
| WEEK 1 |
| DATE |
| TIME IN |
| TIME OUT |
| HOURS WORKED |
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
WEEK 2
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
TOTAL HOURS WORKED THIS PERIOD:
| Hours Worked |
| Rate per Hour |
| Total this Invoice |
Student/Recent graduate certifies this invoice does not include hours previously billed under another invoice.
| ______________________________________________ | __________________ | |
| Signature of Student/Recent Graduate | Date |
Mentor certifies the hours reported on this invoice.
| ______________________________________________ | _____ _____________ | |
| Signature of Mentor | Date |
Contracting Officer’s Representative certifies that the service was received and accepted.
| ______________________________________________ | ___________________ |
| Signature of Contracting Officer’s Representative (COR) | Date |
File details come from the government source that posted it. Updated .