B08_Solicitation_Attach_3_DI-105_Property_Receipt_Hand_Receipt.pdf

PDF 196 KB Posted Mar 27, 2026

Attached to: Eastern States ORC Region 3
Solicitation number: 140L0126R0003
Issued by: Department of the Interior Bureau of Land Management National Office

About this file

Written by GovTribe AI · Mar 27, 2026

This is a Property Receipt (Hand Receipt) form (DI-105) issued by the U.S. Department of the Interior for documenting the transfer of government property to employees or authorized recipients. The form serves as an official record of property accountability and includes space for up to 20 line items of property, with columns for item number, inventory number, description (including make, model, manufacturer, and serial number), quantity, unit of issue, and acquisition cost. Section 1 requires identification of the issuing bureau or office cost center and detailed property information across multiple line items.

Section 2 captures information about the person issuing the property, including first name, middle initial, last name, title, date issued, and signature. Section 3 requires the receiving party to provide their name, title, and signature while acknowledging personal responsibility for the proper use, care, and safeguarding of all issued property. The recipient explicitly agrees that they may be held financially liable for any loss, theft, damage, or misuse resulting from negligence or failure to comply with Department of Interior policy. Records are classified as short-term administrative records with a temporary disposition status, requiring cut-off at the end of the fiscal year and destruction three years after cut-off per retention schedule DAA-0048-2013-0001-0001.

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DI-105 (05/2025)

U.S. Department of the Interior

PROPERTY RECEIPT (HAND RECEIPT)

Section 1: Property Information *required fields

1. Bureau/Office Cost Center:*

2. Item Number

3. Inventory Number

4. Description (make, model, manufacturer, serial number) 5. Qty 6. Unit of Issue

7. Acquisition

Cost

2a. 3a. 4a. 5a. 6a. 7a.

2b. 3b. 4b. 5b 6b. 7b.

2c. 3c. 4c. 5c. 6c. 7c.

2d. 3d. 4d. 5d. 6d. 7d.

2e. 3e. 4e. 5e. 6e. 7e.

2f. 3f. 4f. 5f. 6f. 7f.

2g. 3g. 4g. 5g. 6g. 7g.

2h. 3h. 4h. 5h. 6h. 7h.

2i. 3i. 4i. 5i. 6i. 7i.

2j. 3j. 4j. 5j. 6j. 7j.

2k. 3k. 4k. 5k. 6k. 7k.

2l. 3l. 4l. 5l. 6l. 7l.

2m. 3m. 4m. 5m. 6m. 7m.

2n. 3n. 4n. 5n. 6n. 7n.

2o. 3o. 4o. 5o. 6o. 7o.

2p. 3p. 4p. 5p. 6p. 7p.

2q. 3q. 4q. 5q. 6q. 7q.

2r. 3r. 4r. 5r. 6r. 7r.

2s. 3s. 4s. 5s. 6s. 7s.

2t. 3t. 4t. 5t. 6t. 7t.

8. Notes:

DI-105 (05/2025)

U.S. Department of the Interior

Records Disposition: DAA-0048-2013-0001-0001 – Short-Term Administrative Records Temporary. Cut-off record as instructed in the agency/bureau records manual, or at the end of the fiscal year in which the record is created if no unique cut-off is specified. Destroy 3 years after cut-off.

Section 2: Issued By Information *required fields

9. First Name:* 10. Middle Initial: 11. Last Name:*

12. Title:* 13. Date Issued:*

14. Signature:* 15: Date:*

Section 3: Received By Information *required fields

I understand and agree that I am solely responsible for the proper use, care, and safeguarding of the property issued to me. In the event of loss, theft, damage, or misuse due to negligence or failure to comply with DOI policy, I may be held financially liable for repair, replacement, or associated costs.

16. First Name:* 17. Middle Initial: 18. Last Name:*

19. Title:* 20. Signature:* 21. Date:*

1 BureauOffice Cost Center:

3a:

4a:

5a:

6a:

7a:

4b:

5b:

6b:

7b:

4c:

5c:

6c:

7c:

3d:

4d:

5d:

6d:

7d:

3e:

4e:

5e:

6e:

7e:

3f:

4f:

5f:

6f:

7f:

3g:

4g:

5g:

6g:

7g:

3h:

4h:

5h:

6h:

7h:

3i:

4i:

5i:

6i:

7i:

3j:

4j:

5j:

6j:

7j:

3k:

4k:

5k:

6k:

7k:

3l:

4l:

5l:

6l:

7l:

3m:

4m:

5m:

6m:

7m:

3n:

4n:

5n:

6n:

7n:

3o:

4o:

5o:

6o:

7o:

3p:

4p:

5p:

6p:

7p:

3q:

4q:

5q:

6q:

7q:

3r:

4r:

5r:

6r:

7r:

3s:

4s:

5s:

6s:

7s:

3t:

4t:

5t:

6t:

7t:

8 Notes:

11 Last Name:

12 Title:

13 Date Issued:

15 Date:

16 First Name:

18 Last Name:

19 Title:

21 Date:

9 First Name:

10 Middle Initial:

17 Middle Initial:

3c:

3b:

File details come from the government source that posted it. Updated Mar 27, 2026.