Form_1653.pdf_-__-_05-11-2015.pdf

Generated By PRPS Using Oracle Reports 1Version Page 1 ofDD FORM 1653 2

FD20601401308-00 25 SEP 2014TRANSPORTATION DATA FOR SOLICITATIONS

PURCHASE INSTRUMENT NUMBER: DATE INITIATED:

COMMODITY: STOCK NUMBER:

F.O.B. TERMS RECOMMENDED AS BEST SUITED FOR THIS PROCUREMENT

FAR CITATION

ORIGIN DESTINATION OTHER (Specify)

ITEM / SHIP TO(s):

TRANSPORTATION PROVISIONS / CLAUSES

See Continuation See Continuation

DATA/FIRST ARTICLE F.O.B. DESTINATIONX X

F.O.B. Origin

Freight Classification Description

IAW Basic Contract

52.247-29

52.247-53

FD20601401308-00

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA:

First Destination Transportation Account Code:

Miscellaneous Obligation/Rembursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

97X4930.FC04 644 47GR 159999 01K010 00000 UJJONL 503000 HQ0104 FSR: 013720 PSR: K03528

Zero Dollar

NSN / Pseudo NSN:

NSN / Pseudo NSN:

Purchase Instrument Line Item Number:

Purchase Instrument Line Item Number:

Ship To (DoDAAC / MAPAC):

Ship To (DoDAAC / MAPAC):

Mark For:

Mark For:

Ship To (Address):

Ship To (Address):

Requisition Number:

Requisition Number:

Supplemental Address:

Supplemental Address:

FMS Case:

FMS Case:

4320015692102EW

9999DTL14058AEW

SW3119

IAW DD 1423

DLA DISTRIBUTION WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

WPOD:

APOD:

BBP / CCP:

RIC:

Ship To (Remarks):

SW3119

SDD

Security Classification: Unclassified Ship to: SW3119

Generated By PRPS Using Oracle Reports 1Version Page 2 ofDD FORM 1653 2

EVALUATION OF PORT BID OR PROPOSAL:

APOD:

BBP / CCP:

RIC:

Ship To (Remarks): IAW DD 1423

SOLICITATION DATA NOTES:

NAME ORGANIZATION /

OFFICE SYMBOL

COMMERCIAL /

DSN PHONE

DATE

Jackson, Willie C 406 SCMS / GULAA 478-926-8905 / 468-8905 25 SEP 2014

SIGNATURE

Jackson, Willie C//SIGNED//

OTHER TRANSPORTATION DATA: