Attachment 2 - GSA Delivery Order.pdf

11 KB Posted

Attached to
Global Supply OCONUS Logistics Operations Support Solutions in United States Indo-Pacific Command - JAPAN
Solicitation number
47QSCC24R0021
Issued by

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This document is a GSA Form 3186 (Order for Supplies or Services), which is a blank federal procurement form used to place orders for goods or services. The form is designed to capture essential order details such as vendor information, shipping instructions, quantity, unit price, total cost, inspection/acceptance criteria, and payment terms. While the specific form is empty and contains no filled-in information, it provides a standard template for the General Services Administration to process supply or service acquisitions, with sections for tracking order numbers, requisition details, contract references, and administrative instructions for shipment and payment.

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ORDER FOR SUPPLIES

OR SERVICES

1. GSA

USE

ONLY

2. DATE OF ORDER

IMPORTANT - A copy of this order or the information specified in item 10 below MUST accompany shipment.

3. ORDER NUMBER

4. FROM

5. INSPECTION/ACCEPTANCE

7. F O B

6. MODIFICA-

TION NO

8. GBL NUMBERADMINISTRATION BY

9A. VENDOR WILL 9B. BY

10. SHIP TO/REQUIRED MARKING

MARK

FOR

TRNSP

CNTRL

NO TAC:

(INCLUDE REQUISITION NUMBER(S) AS SHOWN IN ITEM 12)

12. REQUISITION NO, ITEM/STOCK NO. AND DESCRIPTION

16. DISCOUNT TERMS

19. AFTER SHIPMENT, SUBMIT INVOICE(S)

ELECTRONICALLY IN ACCORDANCE WITH TRADING

PARTNER AGREEMENT, OR MAIL TO:

GSA ACCOUNTS PAYABLE BRANCH

KANSAS CITY, MO 64141

FOR PAYMENT INQUIRY, CALL THE CHIEF, ACCOUNTS

PAYABLE BRANCH:

20. FOR INFORMATION (OTHER THAN PAYMENT

INQUIRES) CALL

17. QUANTITY VARIATION ALLOWED

21. SIGNATURE (CONTRACTING/PURCHASING OFFICER)

22. DPAS

RATING

23. MSD'S

REQ'D.

25. PAGES

OF

24. POP

18. TOTAL(S)

CONDITIONS: YOU MUST ABIDE BY THE TERMS AND CONDITIONS REFERENCED IN THE

CONTRACT NUMBER SHOWN ABOVE IN ITEM 11.

CONTRACT NUMBER

(CONSIGNEE ) 11. TO CONTRACTOR

13.

QUANTITY

14.

UNIT

15. COST

A. UNIT PRICE B. AMOUNT

(Remittance address differs)

(days after delivery)

GENERAL SERVICES ADMINISTRATION

GSA FORM 3186 (Rev 7/94)GENERAL SERVICES ADMINISTRATION

B.A. ABOVE

OFFICE

SHIPDELIVER

RDDPROJ. PRI

SEE NOTE IN ITEM 12OR SOONER

C. ACCEPT-

ANCE

BY

A. DESTI-

NATION

B. ORIGIN

BY

REGION

D. TAILGATE

DELIVERY

A. DESTINATION B. ORIGIN

C. INSIDE

DELIVERY

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