Relevant Extramural SOP: Invoice processing procedures for contracts
Last revised: September 7, 2005

 (Delete this and everything above it when using the form. Do not fill out on-line. See Using forms and letters.)

	Notice of Improper Invoice/Suspension	
Department of Health and Human Services
National Institutes of Health
	Date of this Invoice: 	
National Institute of Allergy and Infectious Diseases
	Contract No.: 	
Address:

Contract Management Program
6700-B Rockledge Drive
Room 3214, MSC 7612
Bethesda, MD 20892-7612	Invoice No.: 
	
	Invoice Period: 
	
	Date Invoice Received: 
	
Name and Address of Payee (as it appears on contract)	Amount Claimed: 

	Suspended: 
	
	Amount Allowed: 
	
Explanation of Defect(s) or Suspension

	
NOTE:		Suspended items may be reclaimed in a supplemental invoice or on your next invoice. The claim should be supported by the original of this notice and reasons for reclaiming costs.	Signature and Title

		Date
	Phone No.	

NIH 2522 (Rev. 7/89)