S02. Attachment D.1 Final Invoice Memo.pdf

PDF 129 KB Posted

Attached to
V119--Wheelchair Transportation Services Federal contract opportunity
Solicitation number
36C25625Q0433
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This is a final invoice memo template (Attachment D.1) that vendors must complete to confirm there are no outstanding invoices pending against a specific contract and purchase order. The template requires the vendor to fill in the contract/order number, purchase order number, and vendor representative details including name, title, contact information, signature, and date. The memo is addressed to the Contracting Officer, Contracting Officer's Representative, or Ordering Officer.

The memo is associated with solicitation 36C25625Q0433 for Wheelchair Transportation Services for the Veterans Health Care System of the Ozarks in Fayetteville, AR. While the memo itself is a standard form template, the related opportunity is a 100% SDVOSB set-aside under NAICS code 485991 with responses due February 21, 2025 at 3PM CST.

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Other files for this federal contract opportunity

Other files attached to V119--Wheelchair Transportation Services, newest first.
File Type Posted
36C25625Q0433 0002.docx DOCX document
36C25625Q0433 0001_1.docx DOCX document
S02. Attachment D.3 Past Performance References.pdf PDF
S02. 36C25625Q0433.pdf PDF
36C25625Q0433_1.docx DOCX document
S02. Attachment D.2 Quality Assurance Surveillance Plan.pdf PDF

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Text version

ATTACHMENT D.1 FINAL INVOICE MEMO

IN REPLY

REFER TO: Contract/Order Number: ___________________________________

Purchase Order Number: ______________________

ATTN: Contracting Officer/Contracting Officer’s Representative/Ordering Officer

According to our records, this memo confirms that there are no outstanding invoices pending against the Contract & Purchase Order referenced above.

Sincerely, Vendor Representative Name: _________________________________________________

Vendor Representative Title: ___________________________________________________

Vendor Representative Contact Information: _______________________________________

Signature: Date:

Contract or Order Number:
Purchase Order Number:
Vendor Representative:
Title:
Phone and/or Email:
Date7_af_date:

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