Attachment C-6 FTC-ADM-1A FLETC Purchase Requisition PR.xlsx
XLSX spreadsheet 31 KB Posted
- Attached to
- Student Support/Facilities Operation Maintenance Services Federal contract opportunity
- Solicitation number
- 70LCHS25RPFB00001
About this file
This file is a purchase requisition form template (FTC-ADM-1A) used by the Federal Law Enforcement Training Centers (FLETC) for requesting materials, supplies, equipment, and services. The form contains standard fields for capturing requisition details including requesting office information, vendor details, item descriptions, quantities, pricing, and approval signatures. The template includes both front and back pages, with the back page containing a continuation sheet for additional line items and detailed instructions for completing each field.
The form requires multiple approval levels including an Assistant Director or Division Chief approval and authorization from empowered Center officials (Director, Deputy Director, Procurement Officer, Assistant Director (ADM), or Deputy Assistant Director (ADM)). It includes sections for fund charging information, activity codes, contract details, delivery terms, and justification requirements. The template itself does not contain any specific procurement requirements or completed information - it is simply a blank form with instructions for use within FLETC's procurement process.
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Text version
FRONT
| FTC-ADM-1A(Rev. 7-87) | ||
| PROCUREMENT USE ONLY | ||
| FLETC | TC CONTROL NO. | |
| PURCHASE REQUISITION | DATE: | |
| (Materials, Supplies, Equipment, & Services) |
| (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 | $0.00 | ||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | $0.00 | |||||||
| ea | ||||||||
| ea | ||||||||
| ea | ||||||||
| (17) PURPOSE AND JUSTIFICATION | (18)(a) TOTAL FROM CONTINUATION PAGE | $0.00 | ||||||
| (b) POSTAGE/TRANSPORTATION COST (est) | ||||||||
| (c) GRAND TOTAL | $0.00 | |||||||
| (19) SUPPLIES: ORDER PROVIDES | MONTHS NEEDS | |||||||
| PROCUREMENT | ||||||||
| (20)(a) APPROVED BY: | (21)(a) | AUTHORIZED BY: | ||||||
| (b) DATE: | (c) TITLE: | (b) | DATE: | (c) TITLE: | ||||
| IMPREST FUND AND STOCKROOM ACTIVITY |
| (22)(a) RECEIVED BY: | (b) DATE: | |
| Attachment C-6 |
BACK
| PURCHASE REQUISITION | |||||
| (Materials, Supplies, Equipment, & Services) | |||||
| CONTINUATION | |||||
| ARTICLE NO. | DESCRIPTION | QUANTITY | UNIT OF ISSUE | UNIT PRICE | TOTAL |
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| $0.00 | |||||
| TOTAL CARRIED FORWARD TO FIRST PAGE: | $0.00 | ||||
| SPECIFIC FORM COMPLETION INSTRUCTIONS | |||||
| (See FLETC Directive No. 70-06, Part IV) |
| ITEM 1 | Self-explanatory. | ITEM 13 | Total number of a particular line item. |
| ITEM 2 | Self-explanatory. | ITEM 14 | Appropriate unit of issue as purchased i.e., each, box, pair, carton, etc. |
| ITEM 3 | Self-explanatory. | ITEM 15 | The unit of issue price. |
| ITEM 4 | Self-explanatory. | ITEM 16 | Multiply the values in item 13 and item 15 and enter it in item 16 for |
| ITEM 5 | Self-explanatory. | each line item. | |
| ITEM 6 | Self-explanatory. | ITEM 17 | The purpose and justification for the requested purchase. |
| ITEM 7 | The specific fund to which the purchase is to charged, i.e. | ITEM 18 | (a) The total from all the continuation pages. |
| S&E, OJJDP, INFO-ADP, ATF, U.S. Customs, etc. | (b) The estimated (generally 15%) or actual freight charge for the | ||
| ITEM 8 | Fill in the most finite level, i.e. FLETC division, branch, | purchase. | |
| section, etc. activity code pertaining to the requestor's organizational | (c) The sum of item 18a and b. | ||
| location. Example: Equipment and Materials Branch 34 | ITEM 19 | Self-explanatory. | |
| (your 2 digit numeric code). | ITEM 20 | (a) Signature of the Assistant Director or Division Chief who approves | |
| ITEM 9 | (a) Self-explanatory. | the items on this requisition as legitimate and needed for Center | |
| (b) Self-explanatory. | training or operations. | ||
| (c) Self-explanatory. | (b) The date approving officila signs the requisition. | ||
| (d) Self-explanatory. | (c) The title of the approving official. | ||
| ITEM 10 | (a) Appropriate government contract number if available i.e. | ITEM 21 | (a) Signature of a Center official empowered to authorize the |
| V797P-5650; GS-00F-85307. | procurement action (Director, Deputy Director, Procurement | ||
| (b) The terms of the contract, i.e. NET 30 days. | Officier, Assistant Director (ADM) and Deputy Assistant | ||
| (c) The delivery time offered by the vendor or contract, i.e. 90 | Director (ADM)). | ||
| days ARO (After Receipt of Order). | (b) The date authorizing official signs the requisition. | ||
| (d) Fill in with FOB Destination (Freight already figured in), or | (c) The title of the authorizing official. | ||
| FOB Shipping Point (Freight to be figured in. See item 18b.). | ITEM 22 | (a) Signature of the party who receives monies from the imprest | |
| ITEM 11 | Fill in with a sequential number using one number per line, | fund or supplies from the office supply stockroom. | |
| i.e., 1, 2, 3, 4, etc. | (b) The date party in 22(a) above receives imprest monies or | ||
| ITEM 12 | Self-explanatory | stockroom supplies. |
File details come from the government source that posted it. Updated .