S02. Attachment D.1 Final Invoice Memo.pdf

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Attached to
Pyxis Cubie Drawers
Solicitation number
36C25625Q1299
Issued by

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Attachment D.1 is a Final Invoice Memo template for a federal contract, specifically related to the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The document provides a standardized form for vendors to confirm the completion of all invoicing requirements for a specific contract or purchase order.

The template requires vendors to fill in critical information including the contract/order number, purchase order number, vendor representative details (name, title, contact information), and a signature with date. The primary purpose of the memo is to officially attest that no outstanding invoices remain pending against the referenced contract and purchase order, serving as a formal close-out document for financial reconciliation.

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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:

File details come from the government source that posted it. Updated .