Form 9-2048				United States			USGS OPAC Billing
{November 1999}				Department of the Interior			Request #
				GEOLOGICAL SURVEY
				OPAC BILLING REQUEST
1.  Information Required by Treasury:
USGS Contact						Contact Phone No.
Customer's ALC				(8-digit Agency Location Code)
Customer's Reference Numbers:			(17-character fields)*
Customer's Agreement No.
Customer's Purchase Order/Contract No.
Pay Flag:		Quantity:			Unit Price:	$			Unit Issue:
[P=partial F=final]
Description (160 characters):**
2a.  USGS/FFS Required Accounting Info:					2b.  Distribution of Credits to More Than One BFY or Agreement
Billed Amount:       $				$		$		$
BFY:
Fund:
Org Code:
FFS Agreement #:
Vendor Code:
Proj/Acct No.:***
Object Class:***
3.  I certify that the services/items billed were delivered, or advance billing is in accordance with the above agreement.
				Signature			Date
Notes:	(See OFM Instructional Memorandum 2000-01 for additional instructions).
'*     One of these reference numbers MUST be entered.  Both numbers should be entered if known by the billing office.
'**   Description field MUST include any information required by the customer that is not already included on the Form, such as
the customer's accounting information, etc., and any other information to assist the customer in identifying the charge.
'*** Required only if the billed amount is to be credited to a division account number for refund or expenditures.
Completed forms are to be either faxed to OFM-ARB (703-648-7687), sent as a '.xls' attachment to an Email message to
OFM Email address clcarlso@usgs.gov, or mailed to the following address for processing:
	USGS-OFM-ARB-OPAC
	271 National Center
	Reston, VA  20192