SP7000-16-Q-1025_-_Pricing_Sheet.xls
XLS spreadsheet 184 KB Posted
- Attached to
- Maintenance Federal contract opportunity
- Solicitation number
- SP7000-16-Q-1025
- Issued by
- Defense Logistics Agency
About this file
Pricing sheet
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SP7000-16-Q-1025___SOW.doc | DOC document | |
| SP7000-16-Q-1025__SF1449.pdf | ||
| SP7000-16-Q-1025.pdf | ||
| SP7000-16-Q-1025___SOW.pdf | ||
| SP7000-16-Q-1025_-_Pricing_Sheet.xls | XLS spreadsheet |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Sheet1
| REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | ||||||
| SP7000-16-Q-1025 | 1 of 2 | ||||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| ITEM # | SUPPLIES / SERVICES | QTY | UNIT | UNIT PRICE | AMOUNT | ||
| A request for maintenance services on the following equipment. | |||||||
| Maintenance quotes are requested for 4 option years. | |||||||
| POP: 12/01/16 - 09/30/17 | |||||||
| Location: Ft. Riley, KS | |||||||
| 0001 | Maintenance serices on (1) Canon iPF 8300S printer (S/N: AABS1767) and | 10 | EA | $0.00 | |||
| (1) Contex HD4250 scanner (S/N: KE67E0C003R). | |||||||
| QTY: 1 x 10 mos = 10 EA | |||||||
| Location: Tinker AFB, OK | |||||||
| 0002 | Maintenance serices on (1) Canon iPF 8300S printer (S/N: AABS1755) and | 10 | EA | $0.00 | |||
| (1) Contex HD4250 scanner (S/N: KE67E0C002F). | |||||||
| QTY: 1 x 10 mos = 10 EA | |||||||
| POP: 10/01/17 - 09/30/18 | |||||||
| 1001 | Maintenance serices on (1) Canon iPF 8300S printer (S/N: AABS1767) and | 12 | EA | $0.00 | |||
| (1) Contex HD4250 scanner (S/N: KE67E0C003R). | |||||||
| QTY: 1 x 12 mos = 12 EA | |||||||
| 1002 | Maintenance serices on (1) Canon iPF 8300S printer (S/N: AABS1755) and | 12 | EA | $0.00 | |||
| (1) Contex HD4250 scanner (S/N: KE67E0C002F). | |||||||
| QTY: 1 x 12 mos = 12 EA | |||||||
| POP: 10/01/18 - 09/30/19 | |||||||
| 2001 | Maintenance serices on (1) Canon iPF 8300S printer (S/N: AABS1767) and | 12 | EA | $0.00 | |||
| (1) Contex HD4250 scanner (S/N: KE67E0C003R). | |||||||
| QTY: 1 x 12 mos = 12 EA | |||||||
| 2002 | Maintenance serices on (1) Canon iPF 8300S printer (S/N: AABS1755) and | 12 | EA | $0.00 | |||
| (1) Contex HD4250 scanner (S/N: KE67E0C002F). | |||||||
| QTY: 1 x 12 mos = 12 EA | |||||||
| POP: 10/01/19 - 09/30/20 | |||||||
| 3001 | Maintenance serices on (1) Canon iPF 8300S printer (S/N: AABS1767) and | 12 | EA | $0.00 | |||
| (1) Contex HD4250 scanner (S/N: KE67E0C003R). | |||||||
| QTY: 1 x 12 mos = 12 EA | |||||||
| 3002 | Maintenance serices on (1) Canon iPF 8300S printer (S/N: AABS1755) and | 12 | EA | $0.00 | |||
| (1) Contex HD4250 scanner (S/N: KE67E0C002F). | |||||||
| QTY: 1 x 12 mos = 12 EA | |||||||
| Sub total this page | $0.00 | ||||||
| REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | ||||||
| SP7000-16-Q-1025 | 2 of 2 | ||||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| ITEM # | SUPPLIES / SERVICES | QTY | UNIT | UNIT PRICE | AMOUNT | ||
| POP: 10/01/20 - 09/30/21 | |||||||
| 4001 | Maintenance serices on (1) Canon iPF 8300S printer (S/N: AABS1767) and | 12 | EA | $0.00 | |||
| (1) Contex HD4250 scanner (S/N: KE67E0C003R). | |||||||
| QTY: 1 x 12 mos = 12 EA | |||||||
| 4002 | Maintenance serices on (1) Canon iPF 8300S printer (S/N: AABS1755) and | 12 | EA | $0.00 | |||
| (1) Contex HD4250 scanner (S/N: KE67E0C002F). | |||||||
| QTY: 1 x 12 mos = 12 EA | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| sub total this page | $0.00 | ||||||
| Total | $0.00 | ||||||
| $0.00 | |||||||
| $0.00 | |||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 0 | ||||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 0 | ||||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 0 | ||||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 0 | ||||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 0 | ||||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 0 | ||||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 0 | ||||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 0 | ||||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 0 | ||||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 1 | 0 | |||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 2 | 0 | |||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 3 | 0 | |||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 | ||||||
| CONTINUATION SHEET | REFERENCE NO. OF DOCUMENT BEING CONTINUED: | PAGE: | |||||
| 0 | 4 | 0 | |||||
| NAME OF OFFEROR OR CONTRACTOR: | |||||||
| 0 | |||||||
| CLIN | DESCRIPTION | QTY | UI | COST | TOTAL COST | ||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| $0.00 | |||||||
| SUB-TOTAL | $0.00 |
daps:
DO NOT add or delete lines. Do NOT change layout of form. This form is in the correct format, font and point size I want.
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
LEAVE BLANK
daps:
DO NOT add or delete lines. Do NOT change layout of form. This form is in the correct format, font and point size I want.
daps:
LEAVE BLANK
File details come from the government source that posted it. Updated .