11_DDForm1653_AMD01.pdf

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TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20601500009-01

DATE INITIATED:

29 OCT 2015

STOCK NUMBER: See Continuation

X ORIGIN DESTINATION X OTHER DATA / FIRST ARTICLE F.O.B. DESTINATION(Specify)

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

TRANSPORTATION PROVISIONS / CLAUSES FAR CITATION

F.O.B. Origin 52.247-29 Freight Classification Description 52.247-53

IAW BASIC CONTRACT FD20601500009-01

IAW BASIC CONTRACT FD20601500009-01

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 645 47GR 15661P 01K010 00000 UJJJZY 503000 HQ0104 SC: B4L FSR: 013720 PSR: C41218

First Destination Transportation Account Code: F6RS

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 9999OSL150019

Purchase Instrument Line Item Number: 0027

Ship to (DoDAAC / MAPAC):

Mark For:

Ship To (Address):

WPOD:

APOD:

BBP / CCP:

RIC:

Requisition Number:

Supplemental Address:

FMS Case:

Ship To (Remarks): IAW PWS

NSN / Pseudo NSN: 9999OSL15001A

Purchase Instrument Line Item Number: 0028

Ship to (DoDAAC / MAPAC):

Mark For:

Ship To (Address):

WPOD:

APOD:

BBP / CCP:

RIC:

Requisition Number:

Supplemental Address:

FMS Case:

Ship To (Remarks): IAW PWS

Page 1 of 11DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2015

NSN / Pseudo NSN: 9999TVL150003

Purchase Instrument Line Item Number: 0029

Ship to (DoDAAC / MAPAC):

Mark For:

Ship To (Address):

WPOD:

APOD:

BBP / CCP:

RIC:

Requisition Number:

Supplemental Address:

FMS Case:

Ship To (Remarks): IAW 1423

NSN / Pseudo NSN: 9999TVL150004

Purchase Instrument Line Item Number: 0030

Ship to (DoDAAC / MAPAC):

Mark For:

Ship To (Address):

WPOD:

APOD:

BBP / CCP:

RIC:

Requisition Number:

Supplemental Address:

FMS Case:

Ship To (Remarks): IAW 1423

NSN / Pseudo NSN: 9999DTL150004

Purchase Instrument Line Item Number: 0031

Ship to (DoDAAC / MAPAC):

Mark For:

Ship To (Address):

WPOD:

APOD:

BBP / CCP:

RIC:

Requisition Number:

Supplemental Address:

FMS Case:

Ship To (Remarks): IAW 1423

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

PR AMENDMENT

OTHER TRANSPORTATION DATA:

TACRN:

AAB

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 97X4930.FC04 645 47GR 15661P 01K010 00000 UJJJZY 503000 HQ0104 SC: B4L FSR: 013720 PSR: C41218

First Destination Transportation Account Code: F6RS

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA:

Additional Funding Information:

ITEM / SHIP TO(s):

Page 2 of 11DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2015

NSN / Pseudo NSN: 1280015626911

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 5998013047661CX

Purchase Instrument Line Item Number: 0002

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 6605013207450CX

Purchase Instrument Line Item Number: 0003

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

Page 3 of 11DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2015

NSN / Pseudo NSN: 7035013207452

Purchase Instrument Line Item Number: 0004

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 5998013221908CX

Purchase Instrument Line Item Number: 0005

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 7035013238262CX

Purchase Instrument Line Item Number: 0006

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for

Page 4 of 11DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2015

NSN / Pseudo NSN: 7025014163981CX

Purchase Instrument Line Item Number: 0007

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 6130014167178CX

Purchase Instrument Line Item Number: 0008

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 6130014174425CX

Purchase Instrument Line Item Number: 0009

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for

Page 5 of 11DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2015

NSN / Pseudo NSN: 5998014845584CX

Purchase Instrument Line Item Number: 0010

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 5998011251603CX

Purchase Instrument Line Item Number: 0011

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 5998011261996CX

Purchase Instrument Line Item Number: 0012

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for

Page 6 of 11DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2015

NSN / Pseudo NSN: 5998013238300CX

Purchase Instrument Line Item Number: 0013

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 5998013221909CX

Purchase Instrument Line Item Number: 0014

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 5998011420932CX

Purchase Instrument Line Item Number: 0015

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for

Page 7 of 11DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2015

NSN / Pseudo NSN: 5998011419001CX

Purchase Instrument Line Item Number: 0016

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 5998014172879CX

Purchase Instrument Line Item Number: 0017

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 5998013705841CX

Purchase Instrument Line Item Number: 0018

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for

Page 8 of 11DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2015

NSN / Pseudo NSN: 1280015121505AY

Purchase Instrument Line Item Number: 0019

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 1280015145459AY

Purchase Instrument Line Item Number: 0020

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 1280016191370AY

Purchase Instrument Line Item Number: 0021

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for

Page 9 of 11DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2015

NSN / Pseudo NSN: 1270015144336FX

Purchase Instrument Line Item Number: 0022

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 1270014225778FX

Purchase Instrument Line Item Number: 0023

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 7021014649813SO

Purchase Instrument Line Item Number: 0024

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for

Page 10 of 11DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2015

NSN / Pseudo NSN: 1270015369180SO

Purchase Instrument Line Item Number: 0025

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

NSN / Pseudo NSN: 1270013084491SO

Purchase Instrument Line Item Number: 0026

Ship to (DoDAAC / MAPAC): SW3119

Mark For:

Ship To (Address): DLA DISTRIBUTION WARNER ROBINS

ROBINS A F B GA 31098-1887

31098 - 1887

USA

WPOD:

APOD:

BBP / CCP: SW3119

RIC: 1

Requisition Number:

Supplemental Address:

FMS Case:

455 BYRON STREET BLDG 376

Ship To (Remarks): Contact IM Natalie Roberts, natalie.roberts.1@us.af.mil for shipping instructions.

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

NAME

Miller, Sharon D

ORGANIZATION / OFFICE

SYMBOL

406 SCMS / GULAA

COMMERCIAL / DSN

PHONE

478-327-6308 / 497-6308

SIGNATURE

//SIGNED//Miller, Sharon D

DATE

29 OCT 2015

Page 11 of 11DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 02 Nov 2015

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