Attachment_2_N0025318Q0284.pdf

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Service, Support, and Maintenance of Test Stations
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N0025318Q0284
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N0025318Q0284-0005.pdf PDF
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N0025318Q0284-0003.pdf PDF
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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PREVIOUS EDITION IS OBSOLETE.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PREVIOUS EDITION IS OBSOLETE.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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