Att_26__Customer_Product_Order_Request_Form.xls
XLS spreadsheet 34 KB Posted
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- N00019-15-R-0079
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Customer Product Order Request Form
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Sheet1
| CUSTOMER PRODUCT ORDER REQUEST FORM | |||||||||
| CONTRACT #: 01-D-0000 | |||||||||
| REQUESTING ORGANIZATION: 123 Fighter Wing, San Antonio, TX | |||||||||
| DELIVERY LOCATION: 123 Drive | |||||||||
| BLDG/FACILITY/TANK #: Bldg 123, Tank # 45678 | |||||||||
| Delivery Scheduler (phone #/ e-mail): 210-123-4567 | hookemhorns@abc.mil | ||||||||
| Special Instructions (if applicable): | Delivery for 10 Feb 15 will be a HOT FILL | ||||||||
| Driver should contact POC John Doe for escort to Bldg 123 | |||||||||
| PRODUCT ORDER DATE | Order Placed By | Product | Quantity Requested in Units | Requested Delivery Date | Requested Delivery Time | Delivery to Tank # | Actual Quantity Delivered | Date Delivered | Contractor Confirmation # |
| DO# 0010 | (POP: 1 Jan 15- 31 Mar 15) | 20,000.00 | |||||||
| 3-Feb-10 | John Doe | ABO | 2,000 | 11-Feb-15 | 0900 | 45678 | 2,003.00 | 11-Feb-15 | 123456789 |
| 10 Feb 10 | John Doe | ABO | 2,500 | 18-Feb-15 | 1300 | 45678 | 2,000.00 | 18-Feb-15 | 987654321 |
| REMAINING BALANCE | 15,997.00 | ||||||||
| PAGE 2 Continuation Sheet | |||||||||
| PRODUCT ORDER DATE | Order Placed By | Product | Quantity Requested in Units | Requested Delivery Date | Requested Delivery Time | Delivery to Tank # | Actual Quantity Delivered | Date Delivered | Contractor Confirmation # |
| DO# 0010 | (POP: 1 Jan 15- 31 Mar 15) | 15,997.00 | |||||||
| REMAINING BALANCE | 15997.00 |
hookemhorns@abc.mil
Sheet2
Sheet3
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