J-3 FILLABLE DD-1149 WITH SIGNATURE PANELS.pdf
DoD Form PDF 81 KB Posted
- Solicitation number
- 70T04020R9DAP2037
About this file
This solicitation requests proposals for explosives trace detection units, warranty services, and maintenance support. The Transportation Security Administration seeks qualified explosives trace detection systems with a period of performance of fifty-one months. Offerors must meet qualification requirements for eligible equipment. Proposals are due on September 25, 2020 in accordance with instructions in the request for proposal. The anticipated award date is September 25, 2020. The solicitation will be evaluated based on qualified equipment, delivery capability, past performance, and price. The applicable North American Industry Classification System code is 334511.
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Text version
DD FORM 1149, JAN 2016
PREVIOUS EDITION IS OBSOLETE.
REQUISITION AND INVOICE/SHIPPING DOCUMENT
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
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 AMC OR MSC 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
DATE
(YYYYMMDD)
BY
SHEET TOTAL
GRAND TOTAL
POSTED
BY 20. RECEIVER'S
VOUCHER NO.
51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Adobe Designer 9.0
DATE
(YYYYMMDD)
QUANTITIES
RECEIVED
EXCEPT AS
NOTED
DD FORM 1149C, JAN 2016
REQUISITION AND INVOICE/SHIPPING DOCUMENT (Continuation Sheet)
PREVIOUS EDITION IS OBSOLETE.
SHIPPING CONTAINER TALLY
SHEET NO. NO. OF SHEETS 6. REQUISITION NUMBER 11a. VOUCHER NUMBER AND DATE b. VOUCHER NUMBER AND DATE
SHEET TOTAL
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
OF
ISSUE
(c)
FEDERAL STOCK NUMBER, DESCRIPTION,
AND CODING OF MATERIEL AND/OR SERVICES
(b)
ITEM
NO.
CON-
TAINER
NOS.
(g)
TYPE
TAINER
(f)
51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100
DD Form 1149, Requisition and Invoice/Shipping Document, January 2016
WHS/ESD/DD
D:20060719161848- 04'00' D:20060720144611- 04'00' DD 1149C attached as Page 2.
DD FORM 1149, JAN 2016
PREVIOUS EDITION IS OBSOLETE.
REQUISITION AND INVOICE/SHIPPING DOCUMENT
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
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 AMC OR MSC CHARGEABLE TO
17. SPECIAL HANDLING
18.
R E C A P I T U L A T I O N Recapitulation O F
S H I P M E N T Of shipment.
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
19. Receipt.
CONTAINERS
RECEIVED
EXCEPT AS
NOTED
DATE
(YYYYMMDD)
BY
DATE
(YYYYMMDD)
BY
SHEET TOTAL
GRAND TOTAL
POSTED
BY
20. RECEIVER'S
VOUCHER NO.
51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Adobe Designer 9.0
DATE
(YYYYMMDD)
QUANTITIES
RECEIVED
EXCEPT AS
NOTED
DD FORM 1149C, JAN 2016
REQUISITION AND INVOICE/SHIPPING DOCUMENT (Continuation Sheet)
PREVIOUS EDITION IS OBSOLETE.
SHIPPING CONTAINER TALLY
SHEET NO.
NO. OF SHEETS
6. REQUISITION NUMBER
11a. VOUCHER NUMBER AND DATE
b. VOUCHER NUMBER AND DATE
SHEET TOTAL
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
OF
ISSUE
(c)
FEDERAL STOCK NUMBER, DESCRIPTION,
AND CODING OF MATERIEL AND/OR SERVICES
(b)
ITEM
NO.
TAINER
NOS.
(g)
TYPE
CON-
TAINER
(f) 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100
| 1. From (include zip code).: |
| 2. To (include zip code).: |
| 3. Ship to, mark for.: |
| 4. Appropriations data.: |
| Appropriations amount.: |
| Sheet number.: |
| 6. Requisition number.: |
| 7. Material required date: four digit year followed by two digit month and two digit day.: |
| 8. Priority.: |
| 9. Authority or purpose.: |
| 11.a. Voucher number and date (4 digit year, 2 digit month, 2 digit day).: |
| 11.b. Voucher number and date (4 digit year, 2 digit month, 2 digit day).: |
| 12. Date shipped: four digit year followed by two digit month and two digit day.: |
| 13. Mode of shipment.: |
| 14. Bill of lading number.: |
| 15. Air movement designator or port reference number.: |
| Column a. Item number, line 1.: |
| b. Federal stock number, description, and coding of materiel and/or services.: |
| Column c. Unit of issue, line 1.: |
| Column d. Quantity requested, line 1.: |
| Column e. Supply action, line 1.: |
| Column f. Container type, line 1.: |
| Column g. Container numbers, line 1.: |
| Column h. Unit price, line 1.: |
| Column i. Total cost, line 1.: 0.00000000 |
| Item number, line 2.: |
| b. Federal stock number, description, and coding of materiel and/or services.: |
| Unit of issue, line 2.: |
| Quantity requested, line 2.: |
| Supply action, line 2.: |
| Container type, line 2.: |
| Container numbers, line 2.: |
| Unit price, line 2.: |
| Total cost, line 2.: 0.00000000 |
| Item number, line 3.: |
| b. Federal stock number, description, and coding of materiel and/or services.: |
| Unit of issue, line 3.: |
| Quantity requested, line 3.: |
| Supply action, line 3.: |
| Container type, line 3.: |
| Container numbers, line 3.: |
| Unit price, line 3.: |
| Total cost, line 3.: 0.00000000 |
| Item number, line 4.: |
| b. Federal stock number, description, and coding of materiel and/or services.: |
| Unit of issue, line 4.: |
| Quantity requested, line 4.: |
| Supply action, line 4.: |
| Container type, line 4.: |
| Container numbers, line 4.: |
| Unit price, line 4.: |
| Total cost, line 4.: 0.00000000 |
| Item number, line 5.: |
| b. Federal stock number, description, and coding of materiel and/or services.: |
| Unit of issue, line 5.: |
| Quantity requested, line 5.: |
| Supply action, line 5.: |
| Container type, line 5.: |
| Container numbers, line 5.: |
| Unit price, line 5.: |
| Total cost, line 5.: 0.00000000 |
| 16. Transport via AMC or MSC chargable to:: |
| 17. Special handling.: |
| 18. Recapitulation of Shipment: Issued by.: |
| Checked by.: |
| Packed by.: |
| Total containers, line 1.: |
| Container type, line 1.: |
| DESCRIPTION, line 1.: |
| Total weight, line 1.: |
| Total cube, line 1.: |
| Total containers, line 2.: |
| Container type, line 2.: |
| DESCRIPTION, line 2.: |
| Total weight, line 2.: |
| Total cube, line 2.: |
| Total containers, line 3.: |
| Container type, line 3.: |
| DESCRIPTION, line 3.: |
| Total weight, line 3.: |
| Total cube, line 3.: |
| Total containers, line 4.: |
| Container type, line 4.: |
| DESCRIPTION, line 4.: |
| Total weight, line 4.: |
| Total cube, line 4.: |
| Total containers, line 5.: |
| Container type, line 5.: |
| Total weight.: |
| Total cube.: |
| 19. Receipt. Containers received except as noted: date: four digit year followed by two digit month and two digit day.: |
| Sheet total.: 0.00000000 |
| Quantities received except as noted: date: four digit year followed by two digit month and two digit day.: |
| Grand total.: 0.00000000 |
| Date posted: four digit year followed by two digit month and two digit day.: |
| 20. Receiver's voucher number.: |
| Number of sheets.: |
| Requisition Date. Enter as 4 digit year, 2 digit month, 2 digit day, no dividers.: |
| Posted by (initials).: |
| Sheet number of this page.: |
| Column a. Item number, line 1 (this page).: |
| Column b. Federal Stock Number, Description, and Coding of Materiel and/or Services.: |
| Column c. Unit of issue.: |
| Column d. Quantity requested.: |
| Column e. Supply Action.: |
| Column f. Type container.: |
| Column g. Container numbers.: |
| Column h. Unit Price.: |
| Column i. Total cost.: 0.00000000 |
| Column a. Item number, line 2 (this page).: |
| Column b. Federal Stock Number, Description, and Coding of Materiel and/or Services.: |
| Column c. Unit of issue.: |
| Column d. Quantity requested.: |
| Column e. Supply Action.: |
| Column f. Type container.: |
| Column g. Container numbers.: |
| Column h. Unit Price.: |
| Column i. Total cost.: 0.00000000 |
| Column a. Item number, line 3 (this page).: |
| Column b. Federal Stock Number, Description, and Coding of Materiel and/or Services.: |
| Column c. Unit of issue.: |
| Column d. Quantity requested.: |
| Column e. Supply Action.: |
| Column f. Type container.: |
| Column g. Container numbers.: |
| Column h. Unit Price.: |
| Column i. Total cost.: 0.00000000 |
| Column a. Item number, line 4 (this page).: |
| Column b. Federal Stock Number, Description, and Coding of Materiel and/or Services.: |
| Column c. Unit of issue.: |
| Column d. Quantity requested.: |
| Column e. Supply Action.: |
| Column f. Type container.: |
| Column g. Container numbers.: |
| Column h. Unit Price.: |
| Column i. Total cost.: 0.00000000 |
| Column a. Item number, line 5 (this page).: |
| Column b. Federal Stock Number, Description, and Coding of Materiel and/or Services.: |
| Column c. Unit of issue.: |
| Column d. Quantity requested.: |
| Column e. Supply Action.: |
| Column f. Type container.: |
| Column g. Container numbers.: |
| Column h. Unit Price.: |
| Column i. Total cost.: 0.00000000 |
| Column a. Item number, line 6 (this page).: |
| Column b. Federal Stock Number, Description, and Coding of Materiel and/or Services.: |
| Column c. Unit of issue.: |
| Column d. Quantity requested.: |
| Column e. Supply Action.: |
| Column f. Type container.: |
| Column g. Container numbers.: |
| Column h. Unit Price.: |
| Column i. Total cost.: 0.00000000 |
| Column a. Item number, line 7 (this page).: |
| Column b. Federal Stock Number, Description, and Coding of Materiel and/or Services.: |
| Column c. Unit of issue.: |
| Column d. Quantity requested.: |
| Column e. Supply Action.: |
| Column f. Type container.: |
| Column g. Container numbers.: |
| Column h. Unit Price.: |
| Column i. Total cost.: 0.00000000 |
| Column a. Item number, line 8 (this page).: |
| Column b. Federal Stock Number, Description, and Coding of Materiel and/or Services.: |
| Column c. Unit of issue.: |
| Column d. Quantity requested.: |
| Column e. Supply Action.: |
| Column f. Type container.: |
| Column g. Container numbers.: |
| Column h. Unit Price.: |
| Column i. Total cost.: 0.00000000 |
| Column a. Item number, line 9 (this page).: |
| Column b. Federal Stock Number, Description, and Coding of Materiel and/or Services.: |
| Column c. Unit of issue.: |
| Column d. Quantity requested.: |
| Column e. Supply Action.: |
| Column f. Type container.: |
| Column g. Container numbers.: |
| Column h. Unit Price.: |
| Column i. Total cost.: 0.00000000 |
| Sheet total.: 0.00000000 |
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