**[INSTRUCTIONS FOR SUBMITTING INVOICES TO THE U.S. CENSUS
BUREAU]{.underline}**

The Federal Register, Page 52591,Volume 64, No. 188, dated September 29,
1999, requires that submitted invoices must include specific information
in order for the Government to make payment. Additionally, the U.S.
Census Bureau has supplemented these requirements. Contractors may use
Standard Form 1034 -- Public Voucher for Purchases and Services Other
than Personal (Part 53 of the Federal Acquisition Regulation under FAR
53-301-1034) or they may submit a company generated voucher. However, no
matter what type of voucher is submitted, it must contain the
information described below.

**[PROPER INVOICE INFORMATION]{.underline}**

-   Name and Address of Contractor

-   Contact Name, Title and Telephone Number

-   Government Contract Number or Other Authorization for Delivery of
    Goods or Services

-   Government Task Order Number is required if services are being
    provided through a task order to the basis contract

-   Date of the Invoice

-   Invoice Number, Account Number, and/or any other identifying number
    agreed to by the contract (At a minimum there must be an invoice
    number)

-   Include the Actual date when services were performed or goods
    delivered.

-   Include the Period of Performance on all invoices.

-   Description -- Including, for example, contract line/subline number,
    price, and quality of goods and services rendered.

-   Include discount terms.

-   Other substantiating documentation or information required by the
    contract.

-   Shipping and Payment Terms (Required unless mutually agreed that
    this information is only required in the contract -- Contact the
    Contracting Officer or Contract Specialist for clarification)

-   Taxpayer Identifying Number (TIN) (Required unless agency procedures
    provide otherwise.)

-   Address for mailing payment

-   Banking Information such as name and address of bank, routing &
    account number (Required unless agency procedures provide otherwise,
    or except in situations where the EFT requirements is waived under
    31 CFR, 208.4.) (This information is seldom required, check with the
    Contracting Officer or Contract Specialist to determine if
    information is needed.)

-   Other Substantiating Documentation or Information required by the
    contract

There will also be three statements and signature lines included in the
invoice. The wording for these statements are:

I hereby certify, to the best of my knowledge and belief, that the
services set forth herein were performed during the period stated above
are current, accurate and complete.

\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Date) (Title of Contractor Representative) (Signature)

***The above statement will be signed by a representative of the
Contractor.***

**and**

I certify that to the best of my knowledge and belief that the
services/supplies shown on the invoice have been performed/furnished and
are accepted.

\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Date) (Title: COTR, Task Manager, etc) (Signature)

***The above statement will be signed by a government representative,
usually the COTR or a Task Manager with authority to certify.***

**[and]{.underline}**

Pursuant to authority vested in me, I certify that this voucher is
correct and proper for payment.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Date) (Authorized Certifying Official) (Title)

***The above statement will be signed by a government representative who
has authority to approve the invoice. The representative signing this
statement will be the Contracting Officer when the services are acquired
through a fully definitized contract, or the COTR or Task Manager with
approving authority if the work is authorized through the simplified
acquisition system (purchase order).***

If there is insufficient space in the Standard Form 1034 to provide all
of the required information, the Contractor may include the remaining
information on bond paper. However, if bond paper is used, the contract
and task order numbers, invoice number, and date of invoice must be
listed at the top of the second and subsequent pages.

**An original plus one copy of the voucher will be submitted to:**

U.S. Census Bureau

Finance Division (Vouchers)

4700 Silver Hill Road, Stop-4400

Washington D.C. 20233-4400

Some Contractors submit a copy of the voucher to the COTR or Task
Manager. However, these government representatives are not required to
forward the invoice to Finance nor should they sign the voucher until it
routed through Finance.