Attachment 39-OF-347 Order for Supplies or Services.pdf

PDF 630 KB Posted

Attached to
Training Support Services
Solicitation number
70LART25RPFB00006
Issued by

About this file

This is Optional Form 347 (Rev. 2/2012), "Order for Supplies or Services," which is a standard government form used to document orders for supplies and services. The form is a blank template that includes fields for essential ordering information such as contract number, order number, shipping details, business classification (including options for small business, women-owned, HUBZone, service-disabled veteran-owned), accounting data, and schedule of supplies/services with quantity, unit price and amount columns.

The form includes supplemental sections for invoicing information and a receiving report section to document shipment acceptance and any rejections. It provides the option for contractors to use the order form as their invoice by including a specific payment request statement. This particular template is associated with solicitation 70LART25RPFB00006 for Training Support Services at the DHS Federal Law Enforcement Training Center in Artesia, but contains no filled-in information as it is a blank form to be used when placing orders under the eventual contract.

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ORDER FOR SUPPLIES OR SERVICES PAGE OF PAGES

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

1. DATE OF ORDER 2. CONTRACT NO. (If any)

3. ORDER NO. 4. REQUISITION/REFERENCE NO.

5. ISSUING OFFICE (Address correspondence to)

6. SHIP TO:

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY d. STATE e. ZIP CODE

f. SHIP VIA

8. TYPE OF ORDER

a. PURCHASE

REFERENCE YOUR:

7. TO:

a. NAME OF CONTRACTOR

b. COMPANY NAME

c. STREET ADDRESS

d. CITY e. STATE f. ZIP CODE

b. DELIVERY -- Except for billing instructions on the reverse, this delivery order is subject to instructions contained on this side only of this form and is issued subject to the terms and conditions of the above-numbered contract.

17. SCHEDULE (See reverse for Rejections)

22.UNITED STATES OF

AMERICA BY (Signature)

23. NAME (Typed)

TITLE: CONTRACTING/ORDERING OFFICER

SEE BILLING

INSTRUCTIONS

ON

REVERSE

18. SHIPPING POINT 19. GROSS SHIPPING WEIGHT 20. INVOICE NO.

21. MAIL INVOICE TO:

a. NAME

b. STREET ADDRESS (or P.O. Box)

c. CITY d. STATE e. ZIP CODE

17(h) TOT.

(Cont.

pages)

17(i)

GRAND

TOTAL

OPTIONAL FORM 347 (REV. 2/2012)

Prescribed by GSA/FAR 48 CFR 53.213(f)

9. ACCOUNTING AND APPROPRIATION DATA 10. REQUISITIONING OFFICE

11. BUSINESS CLASSIFICATION (Check appropriate box(es))

a. SMALL

Please furnish the following on the terms and conditions specified on both sides of this order and on the attached sheet, if any, including delivery as indicated.

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION NOT USABLE

d. WOMEN-OWNED

h. EDWOSB

12. F.O.B. POINT

13. PLACE OF

a. INSPECTION b. ACCEPTANCE

14. GOVERNMENT B/L NO. 15. DELIVER TO F.O.B. POINT ON

OR BEFORE (Date)

16. DISCOUNT TERMS

b. OTHER THAN SMALL c. DISADVANTAGED

g. WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

e. HUBZone

f. SERVICE-DISABLED

VETERAN-OWNED

ITEM NO.

(a)

SUPPLIES OR SERVICES

(b)

QUANTITY

ORDERED

(c)

UNIT

(d)

UNIT

PRICE

(e)

AMOUNT

(f)

QUANTITY

ACCEPTED

(g)

SUPPLEMENTAL INVOICING INFORMATION

If desired, this order (or a copy thereof) may be used by the Contractor as the Contractor's invoice, instead of a separate invoice, provided the following statement, (signed and dated) is on (or attached to) the order: "Payment is requested in the amount of $ . No other invoice will be submitted."

However, if the Contractor wishes to submit an invoice, the following information must be provided: contract number (if any), order number, item number(s), description of supplies or service, sizes, quantities, unit prices, and extended totals. Prepaid shipping costs will be indicated as a separate item on the invoice. Where shipping costs exceed $10 (except for parcel post), the billing must be supported by a bill of lading or receipt. When several orders are invoiced to an ordering activity during the same billing period, consolidated periodic billings are encouraged.

RECEIVING REPORT

SHIPMENT

NUMBER

PARTIAL

FINAL

DATE RECEIVED SIGNATURE OF AUTHORIZED U.S. GOV'T REP. DATE

TOTAL CONTAINERS GROSS WEIGHT RECEIVED AT TITLE

REPORT OF REJECTIONS

ITEM NO. SUPPLIES OR SERVICES UNIT

QUANTITY

REJECTED REASON FOR REJECTION

OPTIONAL FORM 347 (REV. 2/2012) BACK

Quantity in the "Quantity Accepted" column on the face of this order has been:

and conforms to contract. Items listed below have been rejected for the reasons indicated.

inspected, accepted, received by me

Order for Supplies or Services forms@gsa.gov August 2012 August 2012

ORDER FOR SUPPLIES OR SERVICES

PAGE

OF

PAGES

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

1. DATE OF ORDER

2. CONTRACT NO. (If any)

3. ORDER NO.

4. REQUISITION/REFERENCE NO.

5. ISSUING OFFICE (Address correspondence to)

6. SHIP TO:

a. NAME OF CONSIGNEE

b. STREET ADDRESS

c. CITY

d. STATE

e. ZIP CODE

f. SHIP VIA

8. TYPE OF ORDER

a. PURCHASE

REFERENCE YOUR:

7. TO:

a. NAME OF CONTRACTOR

b. COMPANY NAME

c. STREET ADDRESS

d. CITY

e. STATE

f. ZIP CODE

f. ZIPCODE

b. DELIVERY -- Except for billing instructions on the reverse, this delivery order is subject to instructions contained on this side only of this form and is issued subject to the terms and conditions of the above-numbered contract.

17. SCHEDULE (See reverse for Rejections)

22.UNITED STATES OF

AMERICA BY (Signature)

23. NAME (Typed)

TITLE: CONTRACTING/ORDERING OFFICER

SEE BILLING

INSTRUCTIONS

ON

REVERSE

18. SHIPPING POINT

19. GROSS SHIPPING WEIGHT

20. INVOICE NO.

21. MAIL INVOICE TO:

a. NAME

b. STREET ADDRESS (or P.O. Box)

c. CITY

d. STATE

e. ZIP CODE 17(h) TOT.

(Cont.

pages) 17(i)

GRAND

TOTAL

OPTIONAL FORM 347 (REV. 2/2012)

Prescribed by GSA/FAR 48 CFR 53.213(f)

9. ACCOUNTING AND APPROPRIATION DATA

10. REQUISITIONING OFFICE

11. BUSINESS CLASSIFICATION (Check appropriate box(es))

a. SMALL Please furnish the following on the terms and conditions specified on both sides of this order and on the attached sheet, if any, including delivery as indicated.

AUTHORIZED FOR LOCAL REPRODUCTION PREVIOUS EDITION NOT USABLE

d. WOMEN-OWNED

h. EDWOSB

12. F.O.B. POINT

13. PLACE OF

a. INSPECTION

b. ACCEPTANCE

14. GOVERNMENT B/L NO.

15. DELIVER TO F.O.B. POINT ON

OR BEFORE (Date)

16. DISCOUNT TERMS

b. OTHER THAN SMALL

c. DISADVANTAGED

g. WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOSB PROGRAM

e. HUBZone

f. SERVICE-DISABLED

VETERAN-OWNED

ITEM NO.

(a)

SUPPLIES OR SERVICES

(b)

QUANTITY

ORDERED

(c)

UNIT

(d)

UNIT

PRICE

(e)

AMOUNT

(f)

QUANTITY

ACCEPTED

(g)

SUPPLEMENTAL INVOICING INFORMATION

If desired, this order (or a copy thereof) may be used by the Contractor as the Contractor's invoice, instead of a separate invoice, provided the following statement, (signed and dated) is on (or attached to) the order: "Payment is requested in the amount of $ . No other invoice will be submitted." However, if the Contractor wishes to submit an invoice, the following information must be provided: contract number (if any), order number, item number(s), description of supplies or service, sizes, quantities, unit prices, and extended totals. Prepaid shipping costs will be indicated as a separate item on the invoice. Where shipping costs exceed $10 (except for parcel post), the billing must be supported by a bill of lading or receipt. When several orders are invoiced to an ordering activity during the same billing period, consolidated periodic billings are encouraged.

RECEIVING REPORT

SHIPMENT

NUMBER

PARTIAL

FINAL

DATE RECEIVED

SIGNATURE OF AUTHORIZED U.S. GOV'T REP.

DATE

TOTAL CONTAINERS

GROSS WEIGHT

RECEIVED AT

TITLE

REPORT OF REJECTIONS

ITEM NO.

SUPPLIES OR SERVICES

UNIT

QUANTITY

REJECTED

REASON FOR REJECTION

OPTIONAL FORM 347 (REV. 2/2012) BACK

Quantity in the "Quantity Accepted" column on the face of this order has been:

and conforms to contract. Items listed below have been rejected for the reasons indicated.

inspected, accepted, received by me

11d. BUSINESS CLASSIFICATION (Check appropriate box(es)). WOMEN-OWNED.: 0
11d. BUSINESS CLASSIFICATION (Check appropriate box(es)). WOMEN-OWNED.: 0
11c. BUSINESS CLASSIFICATION (Check appropriate box(es)). DISADVANTAGED.: 0
11c. BUSINESS CLASSIFICATION (Check appropriate box(es)). DISADVANTAGED.: 0
PAGE. (Enter page number).:
OF PAGES. (Enter total pages).:
1. DATE OF ORDER. Enter 2 digit month, 2 digit day and 4 digit year.:
2. CONTRACT NUMBER (If any). :
3. ORDER NUMBER.:
4. REQUISITION/REFERENCE NUMBER.:
5. ISSUING OFFICE (Address correspondence to) :
a. NAME OF CONTRACTOR.:
b. COMPANY NAME.:
c. STREET ADDRESS.:
c. CITY.:
e. STATE.:
21e. MAIL INVOICE TO: ZIP CODE.:
9. ACCOUNTING AND APPROPRIATION DATA.:
a. NAME OF CONSIGNEE.:
b. STREET ADDRESS.:
d. STATE.:
e. ZIP CODE.:
f. SHIP VIA.:
8a. TYPE OF ORDER. PURCHASE.: 0
8b. TYPE OF ORDER. DELIVERY -- Except for billing instructions on the reverse, this delivery order is subject to instructions contained on this side only of this form and is issued subject to the terms and conditions of the above-numbered contract.: 0
REFERENCE YOUR. Please furnish the following on the terms and conditions specified on both sides of this order and on the attached sheet, if any, including delivery as indicated.:
10. REQUISITIONING OFFICE.:
11a. BUSINESS CLASSIFICATION (Check appropriate box(es)). SMALL.: 0
11e. BUSINESS CLASSIFICATION (Check appropriate box(es)). HUB Zone: 0
11b. BUSINESS CLASSIFICATION (Check appropriate box(es)). OTHER THAN SMALL.: 0
11f. BUSINESS CLASSIFICATION (Check appropriate box(es)). SERVICE-DISABLED VETERAN-OWNED.: 0
12. F. O. B. POINT.:
13a. PLACE OF INSPECTION.:
13b. PLACE OF ACCEPTANCE.:
14. GOVERNMENT B/L NUMBER.:
1. DATE OF ORDER. Enter 2 digit month, 2 digit day and 4 digit year.:
16. DISCOUNT TERMS.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 1 of 13.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 11 of 13.:
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 13 of 13.:
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 12 of 13.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 10 of 13.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 9 of 13.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 8 of 13.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 7 of 13.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 6 of 13.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 5 of 13.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 4 of 13.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 3 of 13.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17a. SCHEDULE (See reverse for Rejections). ITEM NUMBER. Line 2 of 13.:
17b. SCHEDULE (See reverse for Rejections). SUPPLIES OR SERVICES.:
17c. SCHEDULE (See reverse for Rejections). QUANTITY ORDERED.:
17d. SCHEDULE (See reverse for Rejections). UNIT.:
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
17f. SCHEDULE (See reverse for Rejections). AMOUNT.: 0.00000000
17g. SCHEDULE (See reverse for Rejections). QUANTITY ACCEPTED.:
17e. SCHEDULE (See reverse for Rejections). UNIT PRICE.:
18. SHIPPING POINT.:
20. INVOICE NUMBER.:
21a. MAIL INVOICE TO: NAME.:
21b. MAIL INVOICE TO: STREET ADDRESS (or P.O. Box).:
21c. MAIL INVOICE TO: CITY.:
21d. MAIL INVOICE TO: STATE.:
17(h) TOTAL (CONTINUED PAGES).:
17(i) GRAND TOTAL. :
22. UNITED STATES OF AMERICA BY (Signature). This is a protected field.:
SIGNATURE OF AUTHORIZED U.S. GOVERNMENT REPRESENTATIVE. Digital signature.:
23. NAME (Typed).:
19. GROSS SHIPPING WEIGHT.:
Payment is requested in the amount of $ (amount).:
RECEIVING REPORT. Quantity in the "Quantity Accepted" column on the face of this order has been: Inspected.: 0
RECEIVING REPORT. Quantity in the "Quantity Accepted" column on the face of this order has been: Accepted.: 0
RECEIVING REPORT. Quantity in the "Quantity Accepted" column on the face of this order has been: Received by me.: 0
SHIPMENT NUMBER. PARTIAL.:
SHIPMENT NUMBER. FINAL.:
DATE RECEIVED. Enter 2 digit month, 2 digit day and 4 digit year.:
TOTAL CONTAINERS.:
RECEIVED AT.:
SIGNATURE OF AUTHORIZED U.S. GOVERNMENT REPRESENTATIVE. This is a protected field.:
DATE. Enter 2 digit month, 2 digit day and 4 digit year.:
TITLE.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 1 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 21 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 36 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 35 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 34 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 33 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 32 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 31 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 30 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 29 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 28 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 27 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 26 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 25 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 24 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 23 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 22 of 36. :
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 20 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

REPORT OF REJECTIONS. UNIT.:
REPORT OF REJECTIONS. SUPPLIES OR SERVICES.:
REPORT OF REJECTIONS. ITEM NUMBER. Line 19 of 36.:
REPORT OF REJECTION. REASON FOR REJECTION.:
REPORT OF REJECTIONS. QUANTITY

REJECTED.:

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