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Get NAVFAC 7300/30 2001-2021

NAVFAC 7300/30 Rev 2/01 NAVAL FACILITIES ENGINEERING COMMAND 1. CONTRACTOR S INVOICE From DUNS NO CAGE CODE NO Invoice Date Invoice Number POC/Telephone/email for this invoice To Contract Specialist Below is a Statement of Performance under Contract N40085for at Task Order The enclosure provides breakdown of this statement of performance. A. Total value of contract/task order through change B. Percentage of performance complete C. Value of completed performance D. Less total of prior payments E* Amount of this invoice Signature and Title Signature of Authorized Representative Date 2. FIRST ENDORSEMENT Receipt and Acceptance Certification 1. Payment is recommended as follows A. Amount of work completed to date B. Less Retention Other Deductions C. Subtotal D. Less previous payments Final on TO E* Certified amount for payment F* Elapsed contract time if applicable G* Responsible Certifying UIC H. Invoice Receipt Date I. Material/Services Receipt Date K. Date forwarded to paying office L* I certify this amount is correct and payment is recommended* Signature Name and Title typed Phone and address 3. PROMPT PAYMENT CERTIFICATION I certify that the accounting data provided is accurate funds have been obligated in appropriate accouting system and changes have been applied to the apprpriate accounting classification reference number ACRN available funds have been decremented for the amount approved for disbursement and will not be de-obligated and the aboave invoice is correct and proper for payment. Line s of accounting to be used for this invoice include appropriate Line Item CLIN SLIN or ACRN etc. A. Total value of contract/task order through change B. Percentage of performance complete C. Value of completed performance D. Less total of prior payments E* Amount of this invoice Signature and Title Signature of Authorized Representative Date 2. Less total of prior payments E* Amount of this invoice Signature and Title Signature of Authorized Representative Date 2. FIRST ENDORSEMENT Receipt and Acceptance Certification 1. Payment is recommended as follows A. Amount of work completed to date B. FIRST ENDORSEMENT Receipt and Acceptance Certification 1. Payment is recommended as follows A. Amount of work completed to date B. Less Retention Other Deductions C. Subtotal D. Less previous payments Final on TO E* Certified amount for payment F* Elapsed contract time if applicable G* Responsible Certifying UIC H. Less Retention Other Deductions C. Subtotal D. Less previous payments Final on TO E* Certified amount for payment F* Elapsed contract time if applicable G* Responsible Certifying UIC H. Invoice Receipt Date I. Material/Services Receipt Date K. Date forwarded to paying office L* I certify this amount is correct and payment is recommended* Signature Name and Title typed Phone and address 3. Invoice Receipt Date I. Material/Services Receipt Date K. Date forwarded to paying office L* I certify this amount is correct and payment is recommended* Signature Name and Title typed Phone and address 3. PROMPT PAYMENT CERTIFICATION I certify that the accounting data provided is accurate funds have been obligated in appropriate accouting system and changes have been applied to the apprpriate accounting classification reference number ACRN available funds have been decremented for the amount approved for disbursement and will not be de-obligated and the aboave invoice is correct and proper for payment. .

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