CLIN8TaskOrderForm.doc
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- Solicitation number
- AG-04KK-S-17-0003
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AG-04KK-S-17-0003; CLIN 8 Task Order Form
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Text version
Requisition NO.
#848492
IF THIS ORDER IS GREATER THAN $2,500.00, IT IS
NOT VALID UNTIL SIGNED BY THE CONTRACTING OFFICER
Contract No.
| Project Name: |
| JE PCT/GP |
County:Harney
Contractor:
Issuing and Billing Office:
Malheur National Forest
PO Box 909
John Day, OR 97845
Item No.
Subitem No.
| Description |
| Quantity to Date |
| Quantity |
Order
| Unit |
| Unit |
Price Amount
| 8 |
| 8.1a |
| Mud #11, #12, |
Sage #20
(Thin)
| 294 |
| Ac. |
| $ |
| $ |
| 8 |
| 8.1b |
| Mud #11, #12, |
Sage #20
(Grapple Pile)
| 294 |
| Ac. |
| $ |
| $ |
**All acres will be paid (including acres left as wildlife patches, etc.)
| Required Delivery Date or Number of Calendar Days: All work shall be completed within 220 calendar days. (10 ac/day PCT; 5 ac/day GP) |
| Total Price: $ |
Contractor: (Name and Signature)
Requested By: (Name and Signature) COR: Cameron Cornell
Fund Authorization: (Name and Signature)
District Ranger Line Officer:
Ordered By: (Name and Signature) Contracting Officer:
| Order Date: |
| Job Code: |
Original to CO, CC to Contractor and COR Contractor Signature: ___________________
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