09.07.2015 Views

see schedule solicitation/contract/order for commercial items

see schedule solicitation/contract/order for commercial items

see schedule solicitation/contract/order for commercial items

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMSPAGE 2 OF 46(CONTINUED)19. ITEM NO. 20. SCHEDULE OF SUPPLIES/ SERVICES 21. QUANTITY 22. UNIT 23. UNIT PRICE 24. AMOUNTSEE SCHEDULE32a. QUANTITY IN COLUMN 21 HAS BEENRECEIVED INSPECTEDACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________32b. SIGNATURE OF AUTHORIZED GOVERNMENTREPRESENTATIVE32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENTREPRESENTATIVE32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE33. SHIP NUMBERPARTIALFINAL34. VOUCHER NUMBER35. AMOUNT VERIFIEDCORRECT FOR36. PAYMENTCOMPLETEPARTIALFINAL37. CHECK NUMBER38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE42a. RECEIVED BY (Print)42b. RECEIVED AT (Location)42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERSAUTHORIZED FOR LOCAL REPRODUCTIONPREVIOUS EDITION IS NOT USABLESTANDARD FORM 1449 (REV 3/2005) BACKPrescribed by GSAFAR (48 CFR) 53.212

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