ASRCC 143 RFQ.docx

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F828 Physiology Compressed Gas Storage
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JB125127
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ASRCC VANCE

REQUEST FOR QUOTE
Buyer Name:Jennifer Bolz
Ship To Name:
Vendor Name:
Business Size: SB or LB

Telephone: 580-213-7176 Email: jennifer.bolz.ctr@us.af.mil Location: Vance AFB, OK 73705 Attention:

Address:

City/State/Zip:

Telephone:

Attention:

Address:

City/State/Zip:

Telephone:

Email:

DATE OF QUOTE:

Issue Date:

Required Delivery Date

Commercial Item:
☐ Yes
☐ No

Quote Due Date:

Payment Terms:
Net 45
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

Freight

Tax

Grand Total (U.S Currency only)

ASRCC 143 18 Sep 19 image1.jpeg

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