Attachment C-6 FTC-ADM-1A FLETC Purchase Requisition PR.xlsx
XLSX spreadsheet 32 KB Posted
- Solicitation number
- 70LCHS25RPFB00001
About this file
This is a blank FLETC Purchase Requisition form (FTC-ADM-1A) used to request materials, supplies, equipment, and services. The form includes fields for standard requisition information such as requesting office, vendor details, contract numbers, item descriptions, quantities, pricing, approvals, and delivery terms.
The form is a template that contains detailed instructions for completion but does not specify any actual products or services being requested. It appears to be a standard procurement form used by the Federal Law Enforcement Training Centers (FLETC) for internal purchase requests, with sections for approvals from Assistant Directors/Division Chiefs and authorized procurement officials, as well as receipt confirmation for imprest fund and stockroom activities.
View the file
Other files
Show 40 more
Latest 50 of 202 listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FRONT
| FTC-ADM-1A(Rev. 7-87) | ||
| PROCUREMENT USE ONLY | ||
| FLETC | TC CONTROL NO. | |
| PURCHASE REQUISITION | DATE: | |
| (Materials, Supplies, Equipment, & Services) |
| (1) REQUESTING OFFICE: | (2) (a) REQUESTED BY: | (3) DATE: | |
| (b) DATE ITEMS NEEDED: | (4) TELEPHONE NO. | ||
| (5) BUILDING NO. | 1 | ||
| (7) FUNDS TO BE CHARGED TO: | (8) ACTIVITY CODE: | (6) ROOM NO. |
| (9)(a) VENDOR: | (10)(a) CONTRACT NO: | |||||||
| (b) ADDRESS (if available): | (b) TERMS: | |||||||
| (c) TELEPHONE NO. (if available): | (c) DELIVERY TIME: | |||||||
| (d) CONTACT PERSON (if known): | (d) FOB POINT: | |||||||
| ARTICLE NO. | DESCRIPTION | QUANTITY | UNIT OF ISSUE | UNIT PRICE | TOTAL | |||
| (11) | (12) | (13) | (14) | (15) | (16) | |||
| 1 | ea | $0.00 | ||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | ||||||||
| ea | ||||||||
| ea | ||||||||
| (17) PURPOSE AND JUSTIFICATION | (18)(a) TOTAL FROM CONTINUATION PAGE | $0.00 | ||||||
| (b) POSTAGE/TRANSPORTATION COST (est) | ||||||||
| (c) GRAND TOTAL | $0.00 | |||||||
| (19) SUPPLIES: ORDER PROVIDES | MONTHS NEEDS | |||||||
| PROCUREMENT | ||||||||
| (20)(a) APPROVED BY: | (21)(a) | AUTHORIZED BY: | ||||||
| (b) DATE: | (c) TITLE: | (b) | DATE: | (c) TITLE: | ||||
| IMPREST FUND AND STOCKROOM ACTIVITY |
| (22)(a) RECEIVED BY: | (b) DATE: | |
| Attachment C-6 |
BACK
| PURCHASE REQUISITION | |||||
| (Materials, Supplies, Equipment, & Services) | |||||
| CONTINUATION | |||||
| ARTICLE NO. | DESCRIPTION | QUANTITY | UNIT OF ISSUE | UNIT PRICE | TOTAL |
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| TOTAL CARRIED FORWARD TO FIRST PAGE: | $0.00 | ||||
| SPECIFIC FORM COMPLETION INSTRUCTIONS | |||||
| (See FLETC Directive No. 70-06, Part IV) |
| ITEM 1 | Self-explanatory. | ITEM 13 | Total number of a particular line item. |
| ITEM 2 | Self-explanatory. | ITEM 14 | Appropriate unit of issue as purchased i.e., each, box, pair, carton, etc. |
| ITEM 3 | Self-explanatory. | ITEM 15 | The unit of issue price. |
| ITEM 4 | Self-explanatory. | ITEM 16 | Multiply the values in item 13 and item 15 and enter it in item 16 for |
| ITEM 5 | Self-explanatory. | each line item. | |
| ITEM 6 | Self-explanatory. | ITEM 17 | The purpose and justification for the requested purchase. |
| ITEM 7 | The specific fund to which the purchase is to charged, i.e. | ITEM 18 | (a) The total from all the continuation pages. |
| S&E, OJJDP, INFO-ADP, ATF, U.S. Customs, etc. | (b) The estimated (generally 15%) or actual freight charge for the | ||
| ITEM 8 | Fill in the most finite level, i.e. FLETC division, branch, | purchase. | |
| section, etc. activity code pertaining to the requestor's organizational | (c) The sum of item 18a and b. | ||
| location. Example: Equipment and Materials Branch 34 | ITEM 19 | Self-explanatory. | |
| (your 2 digit numeric code). | ITEM 20 | (a) Signature of the Assistant Director or Division Chief who approves | |
| ITEM 9 | (a) Self-explanatory. | the items on this requisition as legitimate and needed for Center | |
| (b) Self-explanatory. | training or operations. | ||
| (c) Self-explanatory. | (b) The date approving officila signs the requisition. | ||
| (d) Self-explanatory. | (c) The title of the approving official. | ||
| ITEM 10 | (a) Appropriate government contract number if available i.e. | ITEM 21 | (a) Signature of a Center official empowered to authorize the |
| V797P-5650; GS-00F-85307. | procurement action (Director, Deputy Director, Procurement | ||
| (b) The terms of the contract, i.e. NET 30 days. | Officier, Assistant Director (ADM) and Deputy Assistant | ||
| (c) The delivery time offered by the vendor or contract, i.e. 90 | Director (ADM)). | ||
| days ARO (After Receipt of Order). | (b) The date authorizing official signs the requisition. | ||
| (d) Fill in with FOB Destination (Freight already figured in), or | (c) The title of the authorizing official. | ||
| FOB Shipping Point (Freight to be figured in. See item 18b.). | ITEM 22 | (a) Signature of the party who receives monies from the imprest | |
| ITEM 11 | Fill in with a sequential number using one number per line, | fund or supplies from the office supply stockroom. | |
| i.e., 1, 2, 3, 4, etc. | (b) The date party in 22(a) above receives imprest monies or | ||
| ITEM 12 | Self-explanatory | stockroom supplies. |
File details come from the government source that posted it. Updated .