CONTRACT COMPLETION STATEMENT
1. FROM:
2a. PII NUMBER
(Contract Administration Office)
2b. LAST MODIFICATION NUMBER
2c. CALL/ORDER NUMBER
3. TO:
4. CONTRACTOR IDENTITY
(Name and Address of Purchasing Office and Office Symbol of the PCO, if known)
CODE AND ADDRESS
5. EXCESS FUNDS
YES
NO
$
6b. VOUCHER NUMBER
6c. DATE
6a. IF FINAL PAYMENT HAS BEEN MADE, COMPLETE
ITEMS 6b., AND 6c.
7b. INVOICE NUMBER
7c. DATE FORWARDED
7a. IF FINAL APPROVED INVOICE FORWARDED TO D.O.
OF ANOTHER ACTIVITY AND STATUS OF PAYMENT
IS UNKNOWN, COMPLETE ITEMS 7b, and 7c.
8. REMARKS
9a. ALL ADMINISTRATION OFFICE ACTIONS REQUIRED HAVE BEEN FULLY AND SATISFACTORILY ACCOMPLISHED. THIS INCLUDES
FINAL SETTLEMENT IN THE CASE OF A PRICE REVISION CONTRACT
9b. TYPED NAME OF RESPONSIBLE OFFICIAL
9c. SIGNATURE
9d. DATE
FOR PURCHASING OFFICE USE ONLY
10a. ALL PURCHASING OFFICE ACTIONS REQUIRED HAVE BEEN FULLY AND SATISFACTORILY ACCOMPLISHED. CONTRACT FILE
OF THIS OFFICE IS HEREBY CLOSED AS OF:
DATE SHOWN IN ITEM 9d. ABOVE.
DATE SHOWN IN ITEM 10e. BELOW. (Check this box only if final completion of any significant purchasing office action extends
more than three months beyond close-out date shown in item 9d. above. In such cases, submit a copy of the completed form upon
final accomplishment of all purchasing office actions to the contract administration office. (Upon receipt, the contract administration
office shall extend its contract file close-out date accordingly.))
10b. REMARKS
10c. TYPED NAME OF RESPONSIBLE OFFICIAL
10d. SIGNATURE
10e. DATE
DD FORM 1594, FEB 70
Replaces edition of 1 JUN 68 which is obsolete.
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