53.301-1035 Standard Form 1035

F




Standard Form 1035 (EG)
September 1973
4 Treasury FRM 2000
1035-110

PUBLIC VOUCHER FOR PURCHASES AND
SERVICES OTHER THAN PERSONAL

CONTINUATION SHEET

VOUCHER NO.

SCHEDULE NO.

SHEET NO.

U.S.. DEPARTMENT, BUREAU, OR ESTABLISHMENT

NUMBER AND DATE OF ORDER

DATE OF DELIVERY OR SERVICE

ARTICLES OR SERVICES

(Enter description, item number of contract or Federal supply schedule, and other information deemed necessary)

QUANTITY

UNIT PRICE

AMOUNT

 

 

 

 

COST

PER

 

 






















 

 

 

 

 

 

Designed using Perform Pro, WHS/DIOR, Aug 96