S02. Attachment D.1 Final Invoice Memo.pdf

PDF 129 KB Posted

Attached to
NovaSure RF Controller and Fluent® Fluid Management System FLT 100 Federal contract opportunity
Solicitation number
36C25625Q0990
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

Attachment D.1 is a Final Invoice Memo template designed for federal contract closeout documentation for the Department of Veterans Affairs Veterans Health Administration. The document provides a standardized form for a vendor representative to confirm that no outstanding invoices remain pending against a specific contract or purchase order. The template requires completion of key fields including Contract/Order Number, Purchase Order Number, Vendor Representative Name, Title, Contact Information, and signature and date of submission.

The memo is associated with Solicitation Number 36C25625Q0990 for NovaSure RF Controller and Fluent® Fluid Management System FLT 100, which involves medical equipment procurement for Veterans Integrated Service Network 16. The template serves as a critical administrative document to formally close out the contract by verifying all financial obligations have been satisfied, ensuring proper administrative closure of the federal contract opportunity.

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Other files attached to NovaSure RF Controller and Fluent® Fluid Management System FLT 100, newest first.
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S02. 36C25625Q0990.pdf PDF
S02. Attachment D.2 - Single Source Justifcation - 36C25625Q0990.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:

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