32a. QUANTITY IN COLUMN 21 HAS BEEN VOUCHER AMOUNT VERIFIED SHIP NUM BER NUMBER CORRECT FOR RECEIVED INSPECTED ACCEPTED AND CONFORMS TO THE PARTIAL CONTRACT, EXCEPT AS NOTED 32b.SIGNATURE OF AUTHORIZED GOVT. REPRESENTATIVE 32c. DATE PAYMENT CHECK NUMBER COMPLETE PARTIAL FINAL S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT PAID BY 42a. RECEIVED BY (PRINT) 42b. RECEIVED AT (LOCATION) 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE 42c. DATE REC’D YY/MM/DD 42d. TOTAL CONTAINERS AUTHORIZED FOR REPRODUCTION STANDARD FOR 1449 (REV. 10-95) Prescribed by GSA-FAR (48 CFR) 53.212
32a. QUANTITY IN COLUMN 21 HAS BEEN RECEIVED INSPECTED ACCEPTED AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED SHIP NUM BER PARTIAL VOUCHER NUMBER AMOUNT VERIFIED CORRECT FOR 32b.SIGNATURE OF AUTHORIZED GOVT. REPRESENTATIVE 32c. DATE 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE PAYMENT COMPLETE PARTIAL FINAL S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 42a. RECEIVED BY (PRINT) 42b. RECEIVED AT (LOCATION) 42c. DATE REC’D YY/MM/DD 42d. TOTAL CONTAINERS CHECK NUMBER PAID BY AUTHORIZED FOR REPRODUCTION STANDARD FOR 1449 (REV. 10-95) Prescribed by GSA-FAR (48 CFR) 53.212
modification.docx