1653.pdf

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

FD20601201236-00 13 NOV 2012TRANSPORTATION 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 52.247-29

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 642 47GR 159999 000000 01K010 00000 000000 503000 HQ0104 00

F6RS

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:

5841DTL1206EB

5895014850550CX

FA8539

SW3119

DEF DIST DEPOT WARNER ROBINS

455 BYRON STREET BLDG 376

ROBINS AFB GA 31098-1887

31098 us

WPOD:

WPOD:

APOD:

APOD:

BBP / CCP:

BBP / CCP:

RIC:

Ship To (Remarks): DODAAC is for invoicing purposes. No physical deliverables.

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

EVALUATION OF PORT BID OR PROPOSAL:

RIC:

Ship To (Remarks):

SOLICITATION DATA NOTES:

NAME ORGANIZATION /

OFFICE SYMBOL

COMMERCIAL /

DSN PHONE

DATE

Mashburn, Charles E 406 SCMS / GUMA 478-327-6324 / 497-6324 13 NOV 2012

SIGNATURE

Mashburn, Charles E//SIGNED//