Attachment 4 GSA Delivery Order.pdf

PDF 11 KB Posted

Attached to
OCONUS LOGISTICS SERVICE SUPPORT PUERTO RICO AND VIRGIN ISLANDS
Solicitation number
47QSCC24R0003
Issued by

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This document appears to be a delivery order form for supplies or services under a General Services Administration contract. It references Contract Number 47QSCC24R0003 for OCONUS Logistics Service Support for Puerto Rico and the Virgin Islands. The delivery order form requests shipment by a specified date to a consignee with required marking including requisition number. It specifies terms for inspection, acceptance, shipping, and invoicing. The related federal contract opportunity is for logistics service support in Puerto Rico and the Virgin Islands to be awarded by the GSA Federal Acquisition Service.

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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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