PerFORM PRO FORM 1.01 Œ²Û-zRÂ/ Courier1Univers (WN)"CG Times (WN)Univers ATT"Times New Romanº"º"º"º"Va $ 2%!*Z¥[O¶9°ööö €ïB‡ï? îBî? INSTRUCTIONS€ €USE THIS FORM ONLY IF THE PURCHASE ORDER NUMBER (BLOCK 8 OF FORM AD-838) BEGINS WITH "45"€ !NÈ”Z¥T!9°ööö €€G7$‡- F7†- Block Number € € 2%Z¥Ü9f»[9€`°ööö €€WR¿Q VR¾Q €1€. € º5Z¥Œ¥Äx9ðööö €€§N­ ÿ42¦Nþ4 €Enter the blanket purchase agreement (BPA) order number as indicated on Form AD-838, Purchase Order, Block 8. Enter the Social Security Number (SSN) (XXX-XX-XXXX), Employer Identification Number (EIN) (XX-XXXXXXX), or the DUNS Number (XX-XXX-XXXX) obtained from the seller. This number  „must € be identical to the one shown on the AD-838, Block 9B, Seller's Ident. No. Enter the date the goods or services were received and accepted or the date the service period ended. When single multiple invoices are submitted in a billing cycle, use latest date. When invoices are consolidated in a billing cycle (established with a vendor), enter the last day of that transaction cycle. (Note: This can only be done when the vendor/seller agrees to the payment due date.) Enter the date the itemized billing statement (s) was received. When no billing statement was received, enter the date the latest invoice was received. (Note: This can only be done when the vendor/seller agrees to the payment due date.) Enter the vendor payment reference number (invoice number, account number, etc.) Do not exceed 20 characters. In the case of multiple invoices, include no more than 20 characters and attach only those invoices that can be identified within the 20 characters. If there are no invoice numbers, account numbers, etc., on the payment document, enter the date of the invoice or statement as MMDDYY. Complete this block if the remittance address is different from the name and/or mailing address of the vendor/seller identified in Block 10 on the AD-838. If not different, leave blank. CAUTION: Agencies must ensure that a correct remittance address is indicated on the AD-838 when this block is left blank. This address should correspond with the remit to address on the seller's invoice. When an invoice is received from a vendor enrolled in EFT, refer to the originating AD-838 and verify whether  „VXP followed by the vendor identification €  „number € and the complete  „remittance address  €is present. If the Vendor Express identification is not present on the originating AD-838 or is different from the Vendor Express information provided on the vendor's invoice, the agency must include the full address (with „ VXP and the 9-digit vendor identificat „ion €  „number) € to ensure that the vendor is paid through EFT. This is the corresponding approving statement for the signature indicated in Block 16. € €  B“Ïj¡·Ž×ýL°ööö ‰€GSG COMPLETE BLOCK NUMBERS 8 THROUGH 14 FOR EACH LINE LINE ITEM RECEIVED.€®©ˉfZ¥ Ù9°ööö €ç:O5æ:N5 Block Number€6ºZ¥€@")9™i°ööö €€=¸1:Ž=~1 €This should not be a sequential line item number beginning with € 01€. € If the AD-838 establishing the BPA did not include line items, then the number 01 should be used for all line items. However, if different accounting is used, then it should be 01, 02, 03, etc.€  €Use when Block 13 will be completed. This code supports the accounting classification regardless of whether or not it was indicated on the AD-838. Use only by Forest Service when Block 13 will be completed. This code supports the accounting classification regardless of whether or not it was indicated on the AD-838. Enter the budget object code „ when differen €t from the budget object code on the establishing order. If no budget object code was entered on the establishing order, it „ must € be entered here. Enter the SF 281 code  „when different € from the establishing order. Enter the accounting classification „ when different € from the establishing order. If no accounting classification was entered on the establishing order, it „ must € be entered here and Blocks 8 and 11 must be completed. NOTE: When a different accounting classification is shown here, it will not replace the stored accounting from the AD-838. To change the accounting classification on the AD-838, amend it. Enter the dollar amount of line item charges from billing document(s) less any discounts, e.g. volume, credit, and trade-in. Do not deduct term discounts as these are automatically computed by the system. Enter the total amount to be paid to the vendor. This total must agree with the total of the billing documents(s) that will be attached. The approving officer's signature is required in this block. Enter the date this form is signed. Enter the phone number where the authorized official can be reached for additional information. Check the appropriate block to indicate if the phone number is an FTS or commercial number. Attach all billing documents (itemized invoices) to the back of this form and mail to this NFC address. The use of a window envelope is optional. CAUTION: Multiple invoices attached to a single AD-838D are acceptable only when the payment due date is the same. €  € ®©Z¥X¾f» 91`°ööö €€ïSG6 îSF68. € 2%õÖÜ9í[‘€¸°ööö €€O<ß5 N<Þ5 €2.€ € 2%+:Ü97P[A€h°ööö €€7(GF 6(FF €3.€ € 2%s¾Ü9Ô[,€S°ööö €€‡;wO †;vO €4.€ € 2% Ü9,'[¿€æ°ööö €€T¿6 T¾6 €5.€ € 2%h•þ=t«[©‡Ð°ööö €€÷5ö5 €6.€ € 2%øþ=´[‡¦°ööö €€P~P €7.€ € Œ¥ ¿zÂÕ¹8à°ööö €€/#.# €19.€ € Œ¥]lzÂi‚'8N°ööö €€7R6R €18.€ € Œ¥KKzÂWaì8°ööö €€== €17.€ € Œ¥9*zÂE@±8Ø°ööö €€GGFG €16.€ € Œ¥èzÂ!þ<8c°ööö €€W5V5 €15.€ € Œ¥h•zÂt«©8аööö €€‡N†N €14.€ € Œ¥ zÂ,'¿8æ°ööö €€/R·P .R¶P €13.€ € Œ¥…ßz‘õg8Ž°ööö €€G'$ G&$ €12.€ € Œ¥ØŒœÆä¢Ô?û°ööö €€GoP GnP €11.€ € Œ¥´JzÂÀ`_8†°ööö €€0ç5 0æ5 €10.€ € ®©X¾œ é1°ööö €€7¯5 7®5 €9.€ €