Public Services and Procurement Canada
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To be used for recording costs in support of form PWGSC-TPSGC 1111.
Contractor's Name and Address:
Claim No.:
Date (YYYY-MM-DD):
File No.:
Contract Serial No.:
Financial Code(s):
Contractor's GST/HST No.:
Contractor’s QST No.:
Table note a Enter the applicable tax rate, for example 5 or 14 or 14.975 (do not use comma). Table note b Enter the applicable tax rate, for example 5 or 14 or 14.975 (do not use comma).
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