Attachment C-4 FTC-ADM-1A FLETC Purchase Requisition PR .pdf
PDF 678 KB Posted
- Attached to
- Student Support/Facilities Operation Maintenance Services Federal contract opportunity
- Solicitation number
- 70LCHS25RPFB00001
About this file
This is a blank FLETC Purchase Requisition form (FTC-ADM-1A) from the Federal Law Enforcement Training Centers in Charleston, SC. The form is designed for requesting materials, supplies, equipment, and services.
The form includes fields for basic procurement information like requesting office, requested by, date needed, vendor details, and contract information. It contains a table for listing articles with columns for article number, description, quantity, unit of issue, unit price and total. The bottom section includes spaces for approvals, justification, and receipt confirmation. The form appears to be Attachment C-6 and is associated with contract number 70LCHS25RPFB00002, which relates to a facilities operation maintenance services solicitation at FLETC Charleston.
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Text version
(1) REQUESTING OFFICE: (2) (a) REQUESTED BY: (3) DATE:
(b) DATE ITEMS NEEDED: (4) TELEPHONE NO.
(5) BUILDING NO. 1
(7) FUNDS TO BE CHARGED TO: (8) ACTIVITY CODE: (6) ROOM NO.
(9)(a) VENDOR: (10)(a) CONTRACT NO:
(b) ADDRESS (if available): (b) TERMS:
(c) TELEPHONE NO. (if available): (c) DELIVERY TIME:
(d) CONTACT PERSON (if known): (d) FOB POINT:
ARTICLE NO. DESCRIPTION QUANTITY
UNIT OF
ISSUE UNIT PRICE TOTAL
(11) (12) (13) (14) (15) (16)
1 ea ea ea ea ea ea ea ea ea ea ea ea
(19) SUPPLIES: ORDER PROVIDES MONTHS NEEDS
(20)(a) APPROVED BY: (21)(a)
(b) DATE: (c) TITLE: (b) DATE: (c) TITLE:
IMPREST FUND AND STOCKROOM ACTIVITY
(22)(a) RECEIVED BY: (b) DATE:
Attachment C-6
(b) POSTAGE/TRANSPORTATION COST (est)
(c) GRAND TOTAL
PROCUREMENT
AUTHORIZED BY:
(17) PURPOSE AND JUSTIFICATION
(18)(a) TOTAL FROM CONTINUATION PAGE
FTC-ADM-1A(Rev. 7-87)
(Materials, Supplies, Equipment, & Services)
PURCHASE REQUISITION
FLETC
PROCUREMENT USE ONLY
TC CONTROL NO.
DATE:
Federal Law Enforcement Training Centers Charleston SC Contract Number: 70LCHS25RPFB00002
Federal Law Enforcement Training Centers Charleston SC Contract Number: 70LCHS25RPFB00002
FRONT
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