Attachment H G-504 Shipped Received Property 00002.pdf

PDF 141 KB Posted

Attached to
Live Scan Equipment Refresh and Operations and Maintenance Federal contract opportunity
Solicitation number
70SBUR22R00000012
Issued by
Department of Homeland Security US Citizen and Immigration Services

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70SBUR22R00000012 00001.pdf PDF
70SBUR22R00000012 Posted on 2022_05_25.pdf PDF

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Report of Property Shipped/Received Department of Homeland Security U.S. Citizenship and Immigration Services

USCIS

Form G-504 Internal Use U S C I S Form G-50 4 Internal Use Z:\Logos\DHS Seal Black.jpg Form G-504 06/14/18 Form I-8 21 01/07/14 N Page of Form G-504 06/14/18 Form I-8 21 01/07/14 N Page of Shipped Received of Name and Address of Consignor Name and Address of Consignee Report Number Page Date P.O. Number Bill of Lading Number Instructions or Remarks Item No. (1) Description (2) Serial Number (3) Units (4) Unit Price (5) Amount (6) Received Title Date Date Completed:

Signature Shipped Title Date Date Completed:

Signature 6.3.0.20170316.1.928536.925622

DHS

USCIS

Report of Property Shipped and Received

DHS

G-504 Form

CurrentPage:
PageCount:
Shipped. Check box selected for other.:
Received. Check box selected for other.:
Check box selected for complete shipment:
TextField3:
Enter P O Number.:
Shipped. Check box selected for other. Please explain.:
Please enter report number.:
Date Completed: Please enter date as two digit month, two digit day and four digit year.:
Received. Check box selected for other. Please explain.:
Enter Instructions and or remarks.:
Enter Item number.:
Enter description.:
Enter serial number.:
Enter Units.:
Enter amount.:
Button1:
Date Completed: Please enter date as two digit month, two digit day and four digit year.:
Enter your Title.:
Signature of Individual Receiving this Form: This can be digital signed.:
Date Shipped: Please enter date as two digit month, two digit day and four digit year.:
Enter your Title.:
Signature of Individual Shipping this Form: This can be digital signed.:

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