S02. Attachment D.1 Final Invoice Memo.pdf
PDF 129 KB Posted
- Solicitation number
- 36C25625Q1254
About this file
The document is an Attachment D.1 Final Invoice Memo template for a federal contract, specifically for the Department of Veterans Affairs Veterans Health Administration. This blank form is designed for a vendor to confirm that no outstanding invoices remain pending against a specific contract or purchase order. The template requires the vendor representative to complete fields including contract/order number, purchase order number, representative name, title, contact information, and provide a signature and date. The form is meant to serve as a formal close-out document for financial reconciliation at the conclusion of a contract.
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Other files
| File | Type | Posted |
|---|---|---|
| S02. 36C25625Q1254.pdf | ||
| P03. Single Source Justification MPT to SAT_Signed_Redacted.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 .