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U.S. ARMY SOLDIER SUPPORT INSTITUTE Prepare Commercial Vendor Services
UNITED STATES ARMY FINANCIAL MANAGEMENT SCHOOL U.S. ARMY SOLDIER SUPPORT INSTITUTE Student Handout # 1 Part 1 FOR Prepare Commercial Vendor Services Vouchers for Payment
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RECEIVED IN FINANCE OFFICE COMMERCIAL VENDOR SERVICE
10 OCT ** FIGURE 1 PG 1 2
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FIGURE 2 PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Standard Form 1034 Revised October 1987 PUBLIC VOUCHER FOR PURCHASES AND VOUCHER NO. Department of the Treasury 1 TFM SERVICES OTHER THAN PERSONAL U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DATE VOUCHER PREPARED SCHEDULE NO. DEPARTMENT OF THE ARMY 31 JULY ** FINANCE OFFICE CVS CLEARING CELL FORT STEWART, GA 31314 CONTRACT NUMBER AND DATE PAID BY DABT15-**-A-7124 FINANCE OFFICE FORT STEWART, REQUISITION NUMBER AND DATE PRC 6374 GA 31314 AS NEEDED SUPPLIES R US DSSN: 6348 PAYEE'S 1001 SOUTH STREET NAME RICHMOND HILL, GA 31324 DATE INVOICE RECEIVED AND SEE BELOW ADDRESS DISCOUNT TERMS NET 30 PAYEE'S ACCOUNT NUMBER 11111 SHIPPED FROM TO WEIGHT GOVERNMENT B/L NUMBER NUMBER DATE OF ARTICLES OR SERVICES QUAN- UNIT PRICE AMOUNT AND DATE DELIVERY (Enter description, item number of contract or Federal supply OF ORDER OR SERVICE schedule, and other information deemed necessary) TITY COST PER ( 1 ) 1-31 JUL ** Blanket Purchase Agreement per attached Invoices and calls for the month of Jul** CALL INVOICE DATE DATE INV RECV’D JUL** JUL ** $ JUL** JUL ** $ (Use continuation sheet(s) if necessary) (Payee must NOT use the space below) TOTAL $ PAYMENT: APPROVED FOR EXCHANGE RATE DIFFERENCES PROVISIONAL =$ =$1.00 COMPLETE BY 2 PARTIAL x FINAL Amount verified; correct for $ PROGRESS TITLE (Signature or initials) INT ADVANCE Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. JAMES R RICHARDSON, LTC, FC DISBURSING OFFICER (Date) (Authorized Certifying Officer) 2 (Title) ACCOUNTING CLASSIFICATION D12 A2ABMABM QLOG CA200 W4RNAA S $986.40 FIGURE 2 CHECK NUMBER ON ACCOUNT OF U.S. TREASURY CHECK NUMBER ON (Name of bank) FOR $986.40 CASH DATE PAYEE 3 $ 1 PER 2 When stated in foreign currency, insert name of currency. If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the 3 approving officer will sign in the space provided, over his official title. When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith, TITLE Secretary," or "Treasurer," as the case may be. Previous edition usable PRIVACY ACT STATEMENT NSN The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will USAPPC V1.00 hinder discharge of the payment obligation. 4
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AS NEEDED SUPPLIES R US 1001 SOUTH STREET RICHMOND HILL, GEORGIA 31324
CONTRACT NUMBER: DABT15-**A-7124 INVOICE NUMBER ACCOUNT NUMBER DATE BILLED TERMS JULY ** NET 30 SHIP TO BILL TO DIRECTOR OF LOGISTICS TRANSPORTATION DIV, BLDG 11 FORT STEWART, GA 31314 FINANCE OFFICE COMMERCIAL VENDOR SERVICES FORT STEWART, GA 31314 1. SPECIAL INSTRUCTIONS : NONE 2. BILLING PERIOD: 1-31 JULY ** 3. ORDER: ITEM DESCRIPTION QTY PRICE AMOUNT 0001 NUTS AND BOLTS, 1” 0002 CARBURETOR M 0003 TIE-RODS, 19 ** SEDAN TOTAL: $420.40 I certify the goods or services hereon have been received and accepted. I certify funds are available and chargeable to appropriation: D12 A2ABMABM QLOG CA200 W4RNAA S34030 19Jul** I.M CARR DATE I. M. CARR, GOVT REP. RECEIVED IN FO CVS CLEARING CELL 23 JUL ** CALL NUMBER: Jul ** DABT15-**-A-7124 FIGURE 3 5
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AS NEEDED SUPPLIES R US 1001 SOUTH STREET RICHMOND HILL, GEORGIA 31324
CONTRACT NUMBER: DABT15-**A-7124 INVOICE NUMBER ACCOUNT NUMBER DATE BILLED TERMS JULY ** NET 30 SHIP TO BILL TO DIRECTOR OF LOGISTICS TRANSPORTATION DIV, BLDG 11 FORT STEWART, GA 31314 FINANCE OFFICE COMMERCIAL VENDOR SERVICE FORT STEWART, GA 31314 1. SPECIAL INSTRUCTIONS : NONE 2. BILLING PERIOD: 1-31 JULY ** 3. ORDER: ITEM DESCRIPTION QTY PRICE AMOUNT 0001 NUTS AND BOLTS, 1” 0002 CARBURETOR M 0003 TIE-RODS, 19 ** SEDAN TOTAL: $ RECEIVED IN FO CVS CLEARING CELL 22 JUL ** CALL NUMBER: Jul ** DABT15-**-A-7124 FIGURE 4 6
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AS NEEDED SUPPLIES R US 1001 SOUTH STREET RICHMOND HILL, GEORGIA 31324
CONTRACT NUMBER: DABT15-**A-7124 INVOICE NUMBER ACCOUNT NUMBER DATE BILLED TERMS JULY ** NET 30 SHIP TO BILL TO DIRECTOR OF LOGISTICS TRANSPORTATION DIV, BLDG 11 FORT STEWART, GA 31314 FINANCE OFFICE COMMERCIAL VENDOR SERVICE FORT STEWART, GA 31314 1. SPECIAL INSTRUCTIONS : NONE 2. BILLING PERIOD: 1-31 JULY ** 3. ORDER: ITEM DESCRIPTION QTY PRICE AMOUNT 0001 AXLE-REAR, 2 1/2 TON $ 0002 AXLE-FRONT, 2 1/2 TON $ TOTAL $ I certify the goods or services hereon have been received and accepted. I certify funds are available and chargeable to appropriation D12 A2ABMABM QLOG CA200 W4RNAA S34030 19Jul** I.M. CARR DATE I. M. CARR, GOVT REP. COMMERCIAL VENDOR SERVICES RECEIVED IN 25 JUL ** CALL NUMBER: Jul ** DABT15-**-A-7124 FIGURE 5 7
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AS NEEDED SUPPLIES R US 1001 SOUTH STREET RICHMOND HILL, GEORGIA 31324
CONTRACT NUMBER: DABT15-**A-7124 INVOICE NUMBER ACCOUNT NUMBER DATE BILLED TERMS JULY ** NET 30 SHIP TO BILL TO DIRECTOR OF LOGISTICS TRANSPORTATION DIV, BLDG 11 FORT STEWART, GA 31314 FINANCE OFFICE COMMERCIAL VENDOR SERVICE FORT STEWART, GA 31314 1. SPECIAL INSTRUCTIONS : NONE 2. BILLING PERIOD: 1-31 JULY ** 3. ORDER: ITEM DESCRIPTION QTY PRICE AMOUNT 0001 AXLE-REAR, 2 1/2 TON $ 0002 AXLE-FRONT, 2 1/2 TON $ TOTAL $ RECEIVED IN COMMERCIAL VENDOR SERVICES 23 JUL ** CALL NUMBER: Jul ** DABT15-**-A-7124 FIGURE 6 8
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FORT STEWART, GA U. B. BRANCH, 2222, 10 JUNE ** UBB
SERVICE REQUEST GTR NUMBER TICKETING PERIOD REQUEST NUMBER R JUNE ** TO: CARLSON WAGONLIT FROM(Authorized T.O. Representative,Ext,Date,Initials) FORT STEWART, GA U. B. BRANCH, 2222, 10 JUNE ** UBB REQUESTED BY: (Name,Ext) ROUTED BY: (Name, Ext) RESERVATION BY: (Name,Date) NO. PAX U.B. BRANCH, J.P. PETTY, I.M. SHORT 15 JUN ** NAME OF TRAVELER ORIGN CONTACT# ORDER NUMBER, HEADQUARTERS, DATE BARRY, SANDERS FT STEWART /91 INF, Fort Stewart, 10 JUNE** MICHAEL, JORDAN FT STEWART “ “ “ “ “ ITINERARY FROM: SAVANNAH, GA TO: FAYETTEVILLE, NC RETURN: N/A FROM: TO: RETURN: TICKET # FARE TAX TOTAL $ $291.55 $ $291.55 CTO REP: ISSUE DATE TOTAL (Initials) IMS 10 JUNE** $583.10 SPECIAL ACCOMMODATIONS: NONE CHARGEABLE FUNDS: 202011D11 A2ABM 21P R2D2 S34030 REMARKS - TYPE/CATEGORY OF TRAVEL PCS DA Form 4556 (Computer Generated) 13
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FORT STEWART, GA U. B. BRANCH ,2222 10 JUNE 19** UBB
SERVICE REQUEST GTR NUMBER TICKETING PERIOD REQUEST NUMBER R JUNE ** TO: CARLSON WAGONLIT FROM(Authorized T.O. Representative,Ext,Date,Initials) FORT STEWART, GA U. B. BRANCH , JUNE 19** UBB REQUESTED BY: (Name,Ext) ROUTED BY: (Name, Ext) RESERVATION BY: (Name,Date) NO. PAX U.B. BRANCH, J.P. PETTY, I.M. SHORT 15 JUN ** NAME OF TRAVELER ORIGN CONTACT# ORDER NUMBER, HEADQUARTERS, DATE WYNMANN, MARTY FT STEWART /91 INF, Fort Stewart, 8 JUNE** ITINERARY FROM: SAVANNAH, GA TO: DENVER, CO RETURN: SAVANNAH, GA FROM: TO: RETURN: SPECIAL ACCOMMODATIONS: NONE CHARGEABLE FUNDS: 202011D11 A2ABM 21P R2D3 S34030 REMARKS - TYPE/CATEGORY OF TRAVEL TDY TICKET # FARE TAX TOTAL $ $410.00 CTO REP: ISSUE DATE TOTAL (Initials) IMS 18 JUNE** $410.00 DA Form 4556 (Computer Generated) 14
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FORT STEWART, GA U. B. BRANCH, 2222 10 JUNE 19** UBB
SERVICE REQUEST GTR NUMBER TICKETING PERIOD REQUEST NUMBER R JUNE ** TO: CARLSON WAGONLIT FROM(Authorized T.O. Representative, Ext, Date, Initials) FORT STEWART, GA U. B. BRANCH, JUNE 19** UBB REQUESTED BY: (Name,Ext) ROUTED BY: (Name, Ext) RESERVATION BY: (Name, Date) NO. PAX U.B. BRANCH, J.P. PETTY, I.M. SHORT 15 JUN ** NAME OF TRAVELER ORIGN CONTACT# ORDER NUMBER, HEADQUARTERS, DATE RODMAN, SCOTTY FT STEWART /91 INF, Fort Stewart, 12 JUNE** ITINERARY FROM: SAVANNAH, GA TO: INDIANAPOLIS, IN RETURN: SAVANNAH, GA FROM: TO: RETURN: SPECIAL ACCOMMODATIONS: NONE CHARGEABLE FUNDS: 202011D11 A2ABM 21P R2D4 S34030 REMARKS - TYPE/CATEGORY OF TRAVEL TDY TICKET # FARE TAX TOTAL $ $398.17 CTO REP: ISSUE DATE TOTAL (Initials) IMS 18 JUNE** $398.17 DA Form 4556 (Computer Generated) 15
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7 June ** WYNMANN, MARTY Director, Resource Management, GS-12 FORT STEWART, GA /91st MECH INF DSN: Attend seminar on model computer system for Resource Management JUNE ** POC: MAJ Beausly DSN: TDY SECRET 7 18 JUNE ** FROM: Fort Stewart, Georgia TO: DFAS-DENVER, Colorado RETURN: Fort Stewart, Georgia X X MAX Government facilities will be used to the fullest extent possible. If government facilities are not available, the traveler must obtain a Statement of Non-Availability from the Billeting Office. Traveler will submit one copy of paid travel voucher to Budget office upon receipt. MIKE JOHNSON TERRY DAVIS TERRY DAVIS, LTC, IN, XO, 1/91st MECH INF MIKE JOHNSON, COL, IN, Commander 1/91st MECH INF 202011D11 A2ABM 21T R2E4 S $410.00 21T $552.00 Frederick Adams FREDERICK ADAMS, Budget Analyst Mike Johnson 8 JUNE ** MIKE JOHNSON, COL, IN, Commander, 1/91st MECH INF 100R2E4 18
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RODMAN, SCOTTY 911-91-1911 Quality Assurance , GS-9
7 June ** RODMAN, SCOTTY Quality Assurance , GS-9 FORT STEWART, GA /91st MECH INF DSN: Attend seminar on quality assurance compliance. 23-28 JUNE ** POC: M R ALLCLEAR DSN: TDY SECRET 6 18 JUNE ** FROM: Fort Stewart, Georgia TO: DFAS-INDIANAPOLIS, Indiana RETURN: Fort Stewart, Georgia X X MAX Government facilities will be used to the fullest extent possible. If government facilities are not available, the traveler must obtain a Statement of Non-Availability from the Billeting Office. Traveler will submit one copy of paid travel voucher to the Budget office upon receipt. TERRY DAVIS MIKE JOHNSON TERRY DAVIS, LTC, IN, XO, 1/91st MECH INF MIKE JOHNSON, COL, IN, Commander 1/91st MECH INF 202011D11 A2ABM 21T R2E5 S $398.17 21T $472.00 Frederick Adams FREDERICK ADAMS, Budget Analyst Mike Johnson 12 JUNE ** MIKE JOHNSON, COL, IN, Commander, 1/91st MECH INF 100R2E5 19
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FOR TRANSPORTATION CHARGES
PUBLIC VOUCHER FOR TRANSPORTATION CHARGES D. O. VOUCHER NO BUR. VOU NO SCHED. NO DEPARTMENT OR AGENCY, BUREAU, OR SERVICE AND LOCATION SHOWN ON SUBVOUCHERS FINANCE OFFICE FORT STEWART, GA 31314 THE UNITED STATES, DR., TO (Payee name and address) CARRIER’S BILL NUMBER PAID BY D P BUS COMPANY FINANCE OFFICE P. O. BOX CARRIER'S SCAC NUMBER FORT STEWART, SAVANNAH, GA SERVICES FURNISHED GA 31314 FREIGHT PASSENGER DSSN: 6348 REQUEST NO: R $1,391.27 # TICKETS ISSUED # SERVICE REQUEST BILLING PERIOD: JUNE ** PAYEE CERTIFICATE I certify the the account stated hereon, as evidenced by the attached subvouchers, is correct and just: that services have been rendered or tickets furnished as indicated: that payment has not been received: and that the charges are not in excess of those applicable thereto under (1) tariffs lawfully on file with any Federal or State transportation regulatory agency or (2) rates and charges established pursuant to section 22 of the Interstate Commerce Act, as amended, or other equivalent contract, arrangement, or exemption from regulation. DATE: JULY ** RECEIVED IN TRANSPORTATION 2 JULY ** PAYEE: THE BUS COMPANY PER: I. M. SHORT /S/ CTO REPRESENTATIVE DIFFERENCES AMOUNT AMOUNT VERIFIED CORRECT FOR: $1,391.27 VERIFIED BY (Signature or Initials) INT COMMERCIAL VENDOR SERVICES RECEIVED IN FO 3 JULY ** PAYMENT DUE DATE: 1 AUG ** PAID BY CHECK NO : TOTAL CLAIMED $1,391.27 ACCOUNTING SUMMARIZATION: 202011D11 A2ABM 21P R224 S $583.10 SUBTOTAL $583.10 202011D11 A2ABM 21T R225 S $410.00 202011D11 A2ABM 21T R226 S $398.17 SUBTOTAL: $808.17 GRAND TOTAL: $1,391.27 20
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SHELL OIL COMPANY P. O. BOX 110 TULSA, OK 74102 TOTALS
ACCOUNT NUMBER 1 JUN ** DEPARTMENT OF THE ARMY DIRECTOR OF LOGISTICS ATTN: TRANSPORTATION OFFICE FORT STEWART, GA 31314 INVOICE NUMBER CONTRACT NUMBER DLA600-**-D-0173 Billing Period: 1-31 May ** STATE TYPE-FUEL INV # GROSS FUEL FEDERAL SALES/LOCAL NET AMOUNT AMOUNT GAL TAX TAX AL GAS 1 $ $6.18 $2.74 $ 40.82 AL DIESEL 1 $ $-0- $1.04 $ 28.66 FL DIESEL 1 $ $-0- $-0- $ 72.67 GA GAS 2 $ $7.12 $4.17 $ 58.19 GA DIESEL 1 $ $-0- $6.00 $102.97 SC GAS $ $16.35 $-0- $103.40 TOTALS 8 $450.31 531.1 $29.65 $13.95 $406.71 RECEIVED IN TRANSPORTATION 6 JUNE ** RECEIVED IN FINANCE OFFICE COMMERCIAL VENDOR SERVICES 8 JUN ** 21
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VEH. TAG R9982 STATE GA AUTH USAR VEH. TAG S9702 STATE GA AUTH RA
AMOUNT: $50.00 AMOUNT: $45.00 EXPIR DATE EXPIR DATE 12/** 12/** 0502** 0522** USAR CENTER A526 1/91st MECH INF DL01 LEWIS SHELL COLUMBIA, SC 207 SHELL OIL A15723 PARHAM SHELL SAVANNAH, GA 563 SHELL OIL A99312 INVOICE NUMBER INVOICE NUMBER SELLER SELLER Dennis Rodman Michael Jordan PURCHASER PURCHASER GAS X OTHER QTY PRICE GAS X OTHER QTY PRICE 50 1.00 OTHER OTHER VEH. TAG R STATE GA AUTH USAR VEH. TAG S STATE GA AUTH RA AMOUNT: $108.97 AMOUNT: $24.48 EXPIR DATE EXPIR DATE 12/** 12/** 0505** 0512** 1/91st MECH INF DL01 USAR CENTER A502 LIBERT SHELL GLENNVILLE, GA 302 SHELL OIL D62153 SULLIVAN SHELL CLAXTON, GA 116 SHELL OIL R93722 INVOICE NUMBER INVOICE NUMBER SELLER SELLER Scotty Pippen Shaquille Oneil PURCHASER PURCHASER GAS OTHER X QTY PRICE GAS X OTHER QTY PRICE OTHER OTHER VEH. TAG A STATE GA AUTH RA VEH. TAG R STATE GA AUTH USAR AMOUNT: $72.67 AMOUNT: $49.74 EXPIR DATE EXPIR DATE 12/** 12/** 0520** 0516** USAR CENTER A526 USAR CENTER A509 ADAMS SHELL JACKSONVILLE, FL 309 SHELL OIL A78754 OHLENDORF SHELL BIRMINGHAM, AL 691 SHELL OIL M17532 INVOICE NUMBER INVOICE NUMBER SELLER SELLER Ron Harper Grant Hill PURCHASER PURCHASER GAS OTHER X QTY PRICE GAS X OTHER QTY PRICE OTHER DIESEL OTHER VEH. TAG T STATE GA AUTH USAR VEH. TAG L STATE GA AUTH USAR AMOUNT: $29.70 AMOUNT: $69.75 EXPIR DATE EXPIR DATE 12/** 12/** 0515** 0518** 1/91st MECH INF MJHA USAR CENTER A532 JOHNSON SHELL GADSEN, AL 460 SHELL OIL P23567 RHODES SHELL COLUMBIA, SC 782 SHELL OIL C81259 INVOICE NUMBER INVOICE NUMBER SELLER SELLER Penny Hardaway Tim Mcgraw PURCHASER PURCHASER GAS OTHER X QTY PRICE GAS X OTHER QTY PRICE OTHER DIESEL OTHER VEH. TAG G STATE GA AUTH RA VEH. TAG H STATE GA AUTH USAR 22
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GASOLINE CREDIT CARD WORKSHEET
UNIT-APC STATE GROSS GAS DIESEL SALES TAX NET AMOUNT 23
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See continuation sheet
Standard Form 1034 PUBLIC VOUCHER FOR PURCHASES AND VOUCHER NO. Revised October 1987 Department of the Treasury 1 TFM SERVICES OTHER THAN PERSONAL U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DATE VOUCHER PREPARED SCHEDULE NO. DEPARTMENT OF THE ARMY 9 JUNE** FINANCE OFFICE FORT STEWART, GA 31314 CONTRACT NUMBER AND DATE PAID BY DLA600-**-D-0173 FINANCE OFFICE FORT STEWART, REQUISITION NUMBER AND DATE PRC 6374 GA 31314 SHELL OIL COMPANY DSSN: 6348 PAYEE'S P. O. BOX 110 NAME TULSA OK 74102 DATE INVOICE RECEIVED AND 6 JUNE ** ADDRESS DISCOUNT TERMS NET 30 PAYEE'S ACCOUNT NUMBER SHIPPED FROM TO WEIGHT GOVERNMENT B/L NUMBER NUMBER DATE OF ARTICLES OR SERVICES QUAN- UNIT PRICE AMOUNT AND DATE DELIVERY (Enter description, item number of contract or Federal supply OF ORDER OR SERVICE schedule, and other information deemed necessary) TITY COST PER ( 1 ) 1-31MAY** Per detailed bill herewith attached $450.31 attached dtd 1 June ** Payment Due Date: 6 July ** (Payee must NOT use the space below) TOTAL $ (Use continuation sheet(s) if necessary) PAYMENT: APPROVED FOR EXCHANGE RATE DIFFERENCES PROVISIONAL =$ =$1.00 Sales Tax ($13.95) COMPLETE BY 2 PARTIAL x FINAL Amount verified; correct for $ PROGRESS TITLE (Signature or initials) INT ADVANCE Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. JAMES R RICHARDSON, LTC, FC DISBURSING OFFICER (Date) (Authorized Certifying Officer) 2 (Title) ACCOUNTING CLASSIFICATION See continuation sheet CHECK NUMBER ON ACCOUNT OF U.S. TREASURY CHECK NUMBER ON (Name of bank) FOR $436.36 CASH DATE PAYEE 3 $ 1 2 When stated in foreign currency, insert name of currency. PER If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the 3 approving officer will sign in the space provided, over his official title. When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith, TITLE Secretary," or "Treasurer," as the case may be. Previous edition usable PRIVACY ACT STATEMENT NSN The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will USAPPC V1.00 hinder discharge of the payment obligation. 24
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1 PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
VOUCHER NO. SCHEDULE NO. SHEET NO. 2/2 PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL CONTINUATION SHEET U. S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DEPARTMENT OF THE ARMY, FINANCE OFFICE FORT STEWART, GA 31314 NUMBER DATE OF ARTICLES OR SERVICES QUAN UNIT PRICE AMOUNT AND DATE DELIVERY TITY COST PER OF ORDER OR SERVICE 202011D 11 A2ABM QPPW 26BK S $ 28.66 202011D 11 A2ABM QPPW 26BK S $102.97 202011D 11 A2ABM QPPW 26BK S $ 202011D 11 A2ABM QPPW 26BK S $ 202011D 11 A2ABM QPPW 26BK S $ 202011D 11 A2ABM QPPW 26BK S $ 202011D 11 A2ABM QPPW 26BK S $ 202011D 11 A2ABM QPPW 26BK S $ 26BJ (GAS) 26BK(DIESEL) 25 1
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INT PUBLIC VOUCHER FOR PURCHASES AND SERVICES OTHER THAN PERSONAL
Standard Form 1034 PUBLIC VOUCHER FOR PURCHASES AND VOUCHER NO. Revised October 1987 Department of the Treasury 1 TFM SERVICES OTHER THAN PERSONAL U.S. DEPARTMENT, BUREAU, OR ESTABLISHMENT AND LOCATION DATE VOUCHER PREPARED SCHEDULE NO. DEPARTMENT OF THE ARMY 12 DEC ** FINANCE OFFICE FORT STEWART, GA, 31314 CONTRACT NUMBER AND DATE PAID BY DABT15-**-F-0988 FINANCE OFFICE FORT STEWART, REQUISITION NUMBER AND DATE PRC 1125 GA, 31314 DSSN: 6348 NONPERFORMER ELECTRONICS PAYEE'S 290 E. STATE ST. NAME GLENNVILLE, GA 30427 DATE INVOICE RECEIVED AND 25 NOV ** ADDRESS DISCOUNT TERMS NET 30 PAYEE'S ACCOUNT NUMBER NONE SHIPPED FROM TO WEIGHT GOVERNMENT B/L NUMBER NUMBER DATE OF ARTICLES OR SERVICES QUAN- UNIT PRICE AMOUNT AND DATE DELIVERY (Enter description, item number of contract or Federal supply OF ORDER OR SERVICE TITY schedule, and other information deemed necessary) COST PER ( 1 ) 27 Nov** Per detailed bill herewith attached $1,500.00 dated 22 Nov **. Less offset of $150.00 per non-performance notification dated 1 Dec ** for Contr. DABT15-**-F-0987 Payment Due Date: 27 December ** (Use continuation sheet(s) if necessary) (Payee must NOT use the space below) TOTAL $1,500.00 PAYMENT: APPROVED FOR EXCHANGE RATE DIFFERENCES PROVISIONAL =$ =$1.00 ($150.00) COMPLETE BY 2 x PARTIAL 1st FINAL Amount verified; correct for $1,350.00 PROGRESS TITLE (Signature or initials) ADVANCE INT Pursuant to authority vested in me, I certify that this voucher is correct and proper for payment. JAMES R. RICHARDSON, LTC, FC DISBURSING OFFICER (Date) (Authorized Certifying Officer) 2 (Title) ACCOUNTING CLASSIFICATION New contract D 11 A2ABM QPPW 26CB S $ Old Contract D 11 A2ABM QPPW 26CB S ($150.00) CHECK NUMBER ON ACCOUNT OF U.S. TREASURY CHECK NUMBER ON (Name of bank) FOR $ CASH DATE PAYEE 3 $ 1 When stated in foreign currency, insert name of currency. PER 2 If the ability to certify and authority to approve are combined in one person, one signature only is necessary; otherwise the 3 approving officer will sign in the space provided, over his official title. When a voucher is receipted in the name of a company or corporation, the name of the person writing the company or TITLE corporate name, as well as the capacity in which he signs, must appear. For example: "John Doe Company, per John Smith, Secretary," or "Treasurer," as the case may be. Previous edition usable PRIVACY ACT STATEMENT NSN The information requested on this form is required under the provisions of 31 U.S.C. 82b and 82c, for the purpose of disbursing Federal money. The information requested is to identify the particular creditor and the amounts to be paid. Failure to furnish this information will USAPPC V1.00 hinder discharge of the payment obligation. 28
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PAYMENTS UNDER CONTRACTS WITH FINANCING PROVISIONS A. ADVANCE PAYMENTS
A. ADVANCE PAYMENTS Purpose: Money advanced from the Government to a prime contractor, in anticipation of, and for the purpose of complete performance. Uses: Subscriptions Post Office Box Rentals Pay-As-You-Go Mail program. Develop or establish military facilities. Street car tickets or tokens, toll road permits Payment of public refuse tickets Payment for state or local governments Tuition and Training COD Charges Copyrights and patents Utility connection charges Petition and witness fees Professional societies Meeting attendance Contract funding Required Documentation: Procurement Document Request for payment/invoice B PROGRESS PAYMENTS: Purpose: Payment of costs incurred as work in progress or based on percentage of completion. Use: Construction Contracts (Financing Provision) Certificate of Performance/Receiving Report Vendor’s Invoice 30
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RECEIVED IN FO COMMERCIAL VENDOR SERVICES 29 JUL **
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WATSON CONSTRUCTION CO. P.O. BOX 11123 RICHMOND HILL, GA 31324
CONTINUATION SHEET WATSON CONSTRUCTION CO. P.O. BOX RICHMOND HILL, GA 31324 DABT15-**-C-0724 ITEM SUPPLY/SERVICE QTY U/I U/P AMOUNT Renovation of quarters for $400,000.00 the period 1 Aug -30 Sep **. Includes: Painting, general repairs, plumbing, cleaning, and building supplies, (Progress Payment Authorized) NOTE 1: DELIVERIES: F.O.B. Destination SHIP TO: DIR, PUBLIC WORKS BLDG 10032 FORT STEWART, GA 31314 NOTE 2: PAYMENT TERMS: Progress payments will be made upon receipt of certificate of performance for the percentage of work completed, less the retained amount as applicable. The invoice must contain the following: 1) The contract number 2) Date of invoice 3) Description 4) Terms 5) Extension/Footing 6) Percentage of completion NOTE 3: CONTRACT TYPE: This is a fixed price contract. 32
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WATSON CONSTRUCTION CO P. O. BOX 11123 RICHMOND HILL, GA 31324
DEPARTMENT OF THE ARMY FINANCE OFFICE FORT STEWART, GA 31314 15 SEP ** DABT15-**-C-0724 FINANCE OFFICE FORT STEWART, GA, 31314 DSSN: 6348 PRC 0755 WATSON CONSTRUCTION CO P. O. BOX 11123 RICHMOND HILL, GA 31324 1 SEP ** NET 14 NONE 84736 31 AUG** Per attached invoices dated 31 Aug ** Reflecting 50% completion $200,000.00 Payment Due Date: 15 Sep ** $200,000.00 less retained % $20,000.00 $180,000.00 x INT JAMES R. RICHARDSON, LTC, FC DISBURSING OFFICER 202011D11 A2ABM QPPW 257H $180,000.00 FOR $180,000.00 33
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CERTIFICATE OF PERFORMANCE
NUMBER: 84736 DATE BILLED: 31 AUGUST ** CONTRACT NUMBER: DABT15-**-C-0724 DEPARTMENT OF THE ARMY DIRECTOR OF PUBLIC WORKS ATTN: BLDG, 10032 FORT STEWART , GA 31314 RECEIVED IN DPW 1 SEP** DESCRIPTION OF SERVICES ESTIMATED COST PERCENTAGE OF COMPLETION RENOVATE QUARTERS $400, % AMOUNT CLAIMED FOR PERIOD 1-31 AUGUST ** = $400, X 50 = $200,000.00 = $ 20,000.00 LESS RETAINED 10% NET AMOUNT: $180,000.00 ACCOUNTING CLASSIFICATION: D11 A2ABM QPPW 257H S34030 VENDOR: WATSON CONSTRUCTION CO P.O. BOX Shawn A. Watson RICHMOND HILL, GA S. A. WATSON, FOREMAN CERTIFICATION: I CERTIFY THAT THE SERVICES LISTED ON THIS INVOICE ARE AN ACCURATE REPRESENTATION OF SERVICES PERFORMED. SERVICES ACCEPTED 31 AUGUST ** E.J. DAVIS E. J. DAVIS DIR, PUBLIC WORKS FORT STEWART, GA RECEIVED IN FO COMMERCIAL VENDOR SERVICE 2 SEP ** 34
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RECEIVED IN FO COMMERCIAL VENDOR SERVICES 20 JAN **
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BALDINO MICROFILMS INC
P.O. BOX 4276 DENVER COLORADO 80223 INVOICE NUMBER 109657 DATE 28 JANUARY ** ORDER NUMBER DABT15-**-M-5234 BILL TO DEPARTMENT OF THE ARMY CVS CLEARING CELL FORT STEWART, GA 31314 TERMS Orders will be placed in effect for the addressee upon receipt of payment RECEIVED IN FO COMMERCIAL VENDOR SERVICE 31 JAN ** PERIOD OF SUBSCRIPTION: MAR **- FEB** DESCRIPTION DELIVERY SCHEDULE TOTAL COST NEW YORK TIMES Microfiche ** ISSUES $1,000.00 TOTAL DUE THIS BILL: $1,000.00 36
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