AFFS143 Request for Quote.docx
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- JLB72 Pharmacy Casework
- Solicitation number
- JLB72
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Text version
AFFS VANCE
| REQUEST FOR QUOTE | |
| Buyer Name: | Jennifer Bolz |
| Ship To Name: Med Group | |
| Vendor Name: | |
| Business Size: SB or LB |
Telephone: 580-213-7176 Email: jennifer.bolz.ctr@us.af.mil Location: Vance AFB Attention:
Address:
City/State/Zip: Vance AFB Enid OK 73705 Telephone:
Attention:
Address:
City/State/Zip:
Telephone:
Email:
DATE OF QUOTE:
| Issue Date: |
| 6/10/21 |
Required Delivery Date
| Commercial Item: |
| ☐ Yes |
| ☐ No |
| Quote Due Date: |
| July 13, 2021 at 2:00pm CST |
Payment Terms:
| Quote Valid Until: |
| 60 days |
| FOB: |
| ☐ Origin |
| ☒ Destination |
DPAS Rating
| Line Item |
| QTY |
| U/M |
| Part # / NSN # |
| Description/Condition |
| EAR/ECCN |
| ITAR or USML |
Classification
| Lead Time |
| Unit |
Price Extended Amount
Labor
Material
**optional Additional Warranty
**optional service agreement
**optional service call if agreement not in place
Freight
Tax
Grand Total (U.S Currency only)
AFFS 143 1 Apr 21 image1.png
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