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Case Record Storage and Retrieval Services RFP (Part I)

Case Record Storage and Retrieval Services RFP (Part I)

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TECHNICAL EXHIBITS C-3<br />

APPENDIX C: SOW TECHNICAL EXHIBITS<br />

Date______________<br />

SAMPLE INVOICE FOR<br />

OPEN, CLOSED & SPECIAL INVESTIGATION RECORDS<br />

(EACH CATEGORY MUST BE INVOICED & REPORTED SEPARATELY)<br />

Invoice Month________________<br />

DESCRIPTION QUANTITY UNIT PRICE AMOUNT<br />

New Receipts<br />

Refiles<br />

Duplicate Processing Fee<br />

Regular <strong>Retrieval</strong>s<br />

Emergent <strong>Retrieval</strong>s<br />

Undeliverable <strong>Retrieval</strong>s<br />

(Out to another district; not on file - give<br />

reason, i.e., box never received)<br />

Regular Delivery Stop<br />

(Every other day)<br />

Emergency Delivery Stop<br />

(Within one workday of request)<br />

Special Pick-Up/Delivery Stop<br />

Total Number - Box Retention<br />

Total Number - <strong>Record</strong> Retention N/A N/A<br />

TOTAL AMOUNT DUE_______________________<br />

Prepared By<br />

(Signature)<br />

(Note: Each billed category shall contain back-up documentation. *Regular <strong>and</strong><br />

Emergent Delivery stops are general service which does not need to be separated<br />

into categories. These services can be charged to the closed case record invoice<br />

along with documentation.)<br />

CASE RECORD STORAGE AND RETRIEVAL SERVICES (<strong>RFP</strong>) 2012 175

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