DD1149_toHWSB.pdf
DoD Form PDF 81 KB Posted
- Attached to
- Lake Louise Housing area at USCG Base Kodiak, AK
- Solicitation number
- HSCG87-14-B-PJT672
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DD1149_toHWSB
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SHIPPING CONTAINER TALLY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
REQUISITION AND INVOICE/SHIPPING DOCUMENT
Form Approved OMB No. 0704-0246
The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0246), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE ADDRESS IN ITEM 2.
1. FROM: (Include ZIP Code)
2. TO: (Include ZIP Code)
3. SHIP TO - MARK FOR
4. APPROPRIATIONS DATA AMOUNT
SHEET
NO.
NO. OF
SHEETS
5. REQUISITION
DATE
6. REQUISITION NUMBER
7. DATE MATERIAL REQUIRED (YYYYMMDD) 8. PRIORITY
9. AUTHORITY OR PURPOSE
10. SIGNATURE 11a. VOUCHER NUMBER & DATE (YYYYMMDD) b.12. DATE SHIPPED (YYYYMMDD)
13. MODE OF SHIPMENT 14. BILL OF LADING NUMBER
15. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NO.
ITEM
NO.
(a)
FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES
(b)
UNIT
OF
ISSUE
(c)
QUANTITY
REQUESTED
(d)
SUPPLY
ACTION
(e)
TYPE
CON-
TAINER
(f)
CON-
TAINER
NOS.
(g)
UNIT PRICE
(h)
TOTAL COST
(i)
16. TRANSPORTATION VIA MATS OR MSTS CHARGEABLE TO 17. SPECIAL HANDLING
18.
R E C A P I T U L A T I O N
O F
S H I P M E N T
ISSUED BY
CHECKED BY
PACKED BY
TOTAL
CON-
TAINERS
TYPE
CON-
TAINER
DESCRIPTION TOTAL
WEIGHT
TOTAL
CUBE
TOTAL
19.
R E C E I P T
CONTAINERS
RECEIVED
EXCEPT AS
NOTED
DATE
(YYYYMMDD)
BY SHEET TOTAL
QUANTITIES
RECEIVED
EXCEPT AS
NOTED
DATE
(YYYYMMDD)
BY GRAND TOTAL
POSTED
DATE
(YYYYMMDD)
BY 20. RECEIVER'S
VOUCHER NO.
DD FORM 1149, APR 2000
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PREVIOUS EDITION MAY BE USED.
| title: |
| ADN: |
| 1_FROM_Include_ZIP_Code: |
| 2_TO_Include_ZIP_Code: Commanding Officer |
USCG ISC Kodiak 3_SHIP_TO__MARK_FOR: U.S. Coast Guard ISC Kodiak Hazardous Waste Storage Building N48 Kodiak, AK 99619 Telephone: 907-487-5588
| 4_APPROPRIATIONS_DATA: |
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| 6_REQUISITION_NUMBER: |
| 7_DATE_MATERIAL_REQUIRED: |
| 8_PRIORITY: |
| 9_AUTHORITY_OR_PURPOSE: disposal/storage |
| 1_la_VOUCHER_NUMBER__DATE: |
| 12_DATE_SHIPPED_YYYYMMDD: |
| b: |
| 13_MODE_OF_SHIPMENT: |
| 14_BILL_OF_LADING_NUMBER: |
| 15_AIR_MOVEMENT_DESIGNATO: |
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| 16_TRANSPORTATION_VIA_MAT: |
| 17_SPECIAL_HANDLING: |
| TOTAL_CON_TAINERS: |
| TYPE_CON_TAINER: |
| DESCRIPTION1: |
| TOTAL_WEIGHT: |
| TOTAL_CUBE: |
| TOTAL_CON_TAINERS1: |
| TYPE_CON_TAINER1: |
| DESCRIPTION2: |
| TOTAL_WEIGHT1: |
| TOTAL_CUBE1: |
| TOTAL_CON_TAINERS2: |
| TYPE_CON_TAINER2: |
| DESCRIPTION3: |
| TOTAL_WEIGHT2: |
| TOTAL_CUBE2: |
| TOTAL_CON_TAINERS3: |
| TYPE_CON_TAINER3: |
| DESCRIPTION4: |
| TOTAL_WEIGHT3: |
| TOTAL_CUBE3: |
| TOTAL_CON_TAINERS4: |
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| TOTAL_WEIGHT4: |
| TOTAL_CUBE4: |
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| BY1: |
| SHEET_TOTAL: |
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| BY2: |
| GRAND_TOTAL: |
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| BY3: |
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| Reset: |
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