B08_Solicitation_Attach_3_DI-105_Property_Receipt_Hand_Receipt.pdf

PDF 196 KB Posted Mar 27, 2026

Attached to: Eastern States ORC Region 5
Solicitation number: 140L0126R0005
Issued by: Department of the Interior Bureau of Land Management National Office

About this file

Written by GovTribe AI · Mar 27, 2026

This is a Property Receipt (Hand Receipt) form (DI-105) issued by the U.S. Department of the Interior for documenting the transfer of federal property to employees or authorized recipients. The form is a template designed to create an official record of property issuance and receipt, establishing clear accountability for government assets.

Section 1 captures property information including bureau/office cost center, item numbers, inventory numbers, detailed descriptions (make, model, manufacturer, serial number), quantities, unit of issue, and acquisition costs, with space for up to 20 line items. Section 2 documents the issuing officer's information (name, title, date issued, and signature), while Section 3 requires the recipient's information (name, title, signature, and date) along with an acknowledgment statement holding the recipient solely responsible for proper use, care, safeguarding, and potential financial liability for loss, theft, damage, or misuse of the property. The form includes a notes section for additional documentation and is subject to records disposition requirements specifying temporary retention with destruction three years after cut-off.

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DI-105 (05/2025)

U.S. Department of the Interior

PROPERTY RECEIPT (HAND RECEIPT)

Section 1: Property Information *required fields

1. Bureau/Office Cost Center:*

2. Item Number

3. Inventory Number

4. Description (make, model, manufacturer, serial number) 5. Qty 6. Unit of Issue

7. Acquisition

Cost

2a. 3a. 4a. 5a. 6a. 7a.

2b. 3b. 4b. 5b 6b. 7b.

2c. 3c. 4c. 5c. 6c. 7c.

2d. 3d. 4d. 5d. 6d. 7d.

2e. 3e. 4e. 5e. 6e. 7e.

2f. 3f. 4f. 5f. 6f. 7f.

2g. 3g. 4g. 5g. 6g. 7g.

2h. 3h. 4h. 5h. 6h. 7h.

2i. 3i. 4i. 5i. 6i. 7i.

2j. 3j. 4j. 5j. 6j. 7j.

2k. 3k. 4k. 5k. 6k. 7k.

2l. 3l. 4l. 5l. 6l. 7l.

2m. 3m. 4m. 5m. 6m. 7m.

2n. 3n. 4n. 5n. 6n. 7n.

2o. 3o. 4o. 5o. 6o. 7o.

2p. 3p. 4p. 5p. 6p. 7p.

2q. 3q. 4q. 5q. 6q. 7q.

2r. 3r. 4r. 5r. 6r. 7r.

2s. 3s. 4s. 5s. 6s. 7s.

2t. 3t. 4t. 5t. 6t. 7t.

8. Notes:

DI-105 (05/2025)

U.S. Department of the Interior

Records Disposition: DAA-0048-2013-0001-0001 – Short-Term Administrative Records Temporary. Cut-off record as instructed in the agency/bureau records manual, or at the end of the fiscal year in which the record is created if no unique cut-off is specified. Destroy 3 years after cut-off.

Section 2: Issued By Information *required fields

9. First Name:* 10. Middle Initial: 11. Last Name:*

12. Title:* 13. Date Issued:*

14. Signature:* 15: Date:*

Section 3: Received By Information *required fields

I understand and agree that I am solely responsible for the proper use, care, and safeguarding of the property issued to me. In the event of loss, theft, damage, or misuse due to negligence or failure to comply with DOI policy, I may be held financially liable for repair, replacement, or associated costs.

16. First Name:* 17. Middle Initial: 18. Last Name:*

19. Title:* 20. Signature:* 21. Date:*

1 BureauOffice Cost Center:

3a:

4a:

5a:

6a:

7a:

4b:

5b:

6b:

7b:

4c:

5c:

6c:

7c:

3d:

4d:

5d:

6d:

7d:

3e:

4e:

5e:

6e:

7e:

3f:

4f:

5f:

6f:

7f:

3g:

4g:

5g:

6g:

7g:

3h:

4h:

5h:

6h:

7h:

3i:

4i:

5i:

6i:

7i:

3j:

4j:

5j:

6j:

7j:

3k:

4k:

5k:

6k:

7k:

3l:

4l:

5l:

6l:

7l:

3m:

4m:

5m:

6m:

7m:

3n:

4n:

5n:

6n:

7n:

3o:

4o:

5o:

6o:

7o:

3p:

4p:

5p:

6p:

7p:

3q:

4q:

5q:

6q:

7q:

3r:

4r:

5r:

6r:

7r:

3s:

4s:

5s:

6s:

7s:

3t:

4t:

5t:

6t:

7t:

8 Notes:

11 Last Name:

12 Title:

13 Date Issued:

15 Date:

16 First Name:

18 Last Name:

19 Title:

21 Date:

9 First Name:

10 Middle Initial:

17 Middle Initial:

3c:

3b:

File details come from the government source that posted it. Updated Mar 27, 2026.