Sol_140L3626Q0030.pdf

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MCFO FENCE SUPPLY ORDER Federal contract opportunity
Solicitation number
140L3626Q0030
Issued by
Department of the Interior Bureau of Land Management

About this file

This is a Request for Quote (RFQ) for fencing materials issued by the Department of Interior, Bureau of Land Management (BLM) Montana State Office.

The solicitation number is 140L3626Q0030, with quotes due by May 29, 2026 at 1400 MST and questions due by May 22, 2026. This is a 100% Small Business Set-Aside acquisition using FAR Parts 12 and 13, with a NAICS code of 332510 (Hardware Manufacturing) and a size standard of 750 employees. Award will be made on a firm-fixed price basis to a single offeror representing the best value using lowest price technically acceptable evaluation criteria. The contract will be administered by the BLM Montana State Office in Billings with delivery to the BLM Miles City Field Office. The period of performance runs from June 5, 2026 to August 31, 2026, with an initial delivery date of April 1, 2026.

Required items include eight line items of fencing materials: 112 steel brace posts (long), 198 steel brace posts (short), 198 steel brace rails, 21 drill stem mechanical gate closers, 69 gate loop cables, 5,200 heavy duty steel fence posts, 200 spools of heavy duty barbed wire, and 66 spools of heavy duty barbless wire. All items are classified under product/service code 5660 (Fencing, Fences, Gates and Components). Offerors must submit pricing for all items and be actively registered in the System for Award Management (SAM). Payment will be made by electronic funds transfer through the Invoice Processing Platform (IPP). All federal clauses and provisions incorporated by reference are effective through Federal Acquisition Circular 2026-01 (March 13, 2026), with quotes to be submitted by email only to Contracting Officer Christopher Brailer (christopher_brailer@ios.doi.gov), and quotes must remain valid for a minimum of 60 days.

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WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3.AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 29. AWARD OF CONTRACT: REFERENCE

. YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4.

FAR 52.212-3 AND 52.212-5 ARE ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED.

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

DATED.

OFFER

ADDENDA

ADDENDA

140L3626Q0030

See Schedule See Schedule

BLM MT-STATE OFC(MT935)

5001 SOUTHGATE DR.

BILLINGS MT 59101

05/29/2026 1400 MD

0044042024

Christopher Brailer 4068965196

LMA 100.00

LMA

Christopher Brailer

332510

05/14/2026

0011276418

ADMINISTERED BY:

BLM MT STATE OFC(MT935)

5001 SOUTHGATE DR.

BILLINGS MT 59101 US

DELIVER TO:

BLM-MT MILES CITY FIELD OFFICE*

Continued...

STOCK RECORD (S/R)

STANDARD FORM 1449 (REV. 11/2021) BACK

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED:

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE RECEIVED (MM/DD/YYYY) 42d. TOTAL CONTAINERS

40. PAID BY

32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

32g. EMAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

PARTIAL FINAL

37. CHECK NUMBER

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER

36. PAYMENT

COMPLETE PARTIAL FINAL

ACCEPTED,

111 GARRYOWEN ROAD

MILES CITY MT 59301 US

Miles City Fencing Material

Contracting Officer: Chris Brailer;

christopher_brailer@ios.doi.gov; 406-896-5196

Delivery: 04/01/2026

Period of Performance: 06/05/2026 to

08/31/2026

00010 112 EASteel Brace Post (Long) 2 7/8¿ by 9¿

Product/Service Code: 5660

Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS

00020 198 EASteel Brace Post (Short) 2 7/8¿ by 4¿

Product/Service Code: 5660

Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS

00030 198 EASteel Brace Rail 2¿ by 7¿

Product/Service Code: 5660

Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS

00040 21 EADrill Stem Mechanical Gate Closer

Product/Service Code: 5660

Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS

Continued...

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGES

NAME OF OFFEROR OR CONTRACTOR

SUPPLIES/SERVICES

(B)

UNIT

(D)

UNIT PRICE

(E)

AMOUNT

(F)

OPTIONAL FORM 336 (4-86)

Sponsored by GSA FAR (48 CFR) 53.110

ITEM NO.

(A)

QUANTITY

(C)

NSN 7540-01-152-8067

140L3626Q0030

00050 69 EAGate Loop Cables

Product/Service Code: 5660

Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS

00060 5200 EAHeavy Duty Steel Fence Posts 5 ½¿

Product/Service Code: 5660

Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS

00070 200 EAHeavy Duty Barbed Wire

Product/Service Code: 5660

Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS

00080 66 EAHeavy Duty Barbless Wire

Product/Service Code: 5660

Product/Service Description: FENCING, FENCES, GATES AND COMPONENTS

This is a combined synopsis/solicitation for commercial services prepared in accordance with the format in subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation/notice. Quotes are being requested at this time. The Department of Interior, Bureau of Land Management (DOI, BLM), Montana State Office, located in Billings, MT is issuing this combined solicitation/synopsis for MILES CITY FENCING MATERIAL. 140L3626Q0030 is a Request for Quote using FAR Part12, Acquisition of Commercial Item, and FAR Part 13, Simplified Acquisition Procedures. The solicitation document, statement of work, incorporated provisions and clauses, and solicitation attachments are attached. This document incorporates provisions and clauses which are in effect through Federal Acquisition Circular (FAC) 2026-01, Effective Date 03/13/2026.

The solicitation will result in a firm-fixed priced, single award contract. The North American Industry Classification System (NAICS) code is 332510, Hardware Manufacturing with a small business size standard of 750 Employees.

This acquisition is being solicited as a 100% Small Business Set-Aside. Paper copies of this combined solicitation/synopsis will not be mailed. Prospective offerors are responsible for checking System for Award Management (SAM) to obtain any amendments or other information pertaining to the solicitation. Prospective offerors are encouraged to register for notifications.

All offerors must be actively registered in the System for Award Management (SAM), (https://www.sam.gov) to be eligible for award. In addition, vendors must ensure their Annual Representations and Certifications are updated and current.

All questions must be submitted by 5/22/2026, 1400 MST.

Responses/quote MUST be received no later than 5/29/2026, 1400 MST. Quotes must be emailed to the Contracting Officer (CO), mailed and faxed quotes will not be accepted.

The following quote preparation instructions are in addition to the below, 52.212-2 Evaluation Factors for Award.

The Government shall not award any contract if the resulting contract would not represent a "best value" to the Government using the tradeoff process procedures as required by the Federal Acquisition Regulations (FAR).

To assure timely and equitable evaluation of quotes, offerors are cautioned to strictly comply with all instructions within this solicitation to ensure submission of a complete quote. Offerors are required to meet all solicitation requirements, including terms and conditions, representations and certifications, and those identified as evaluation factors and sub-factors. Failure to furnish a complete quote, at the time of submission, may result in the quote being unacceptable to the Government and eliminated from consideration for award.

Offerors are cautioned to submit adequate information to enable the Government to fully ascertain each offeror’s capability to perform the requirement. Commitments made in the quote may become a part of the resultant contract.

If an offeror believes that requirements in these instructions contain an error, omission, or are otherwise flawed, the Offeror shall immediately notify the Contracting Officer in writing (email is the preferred method) with supporting rationale by the due date provided. All concerns and questions shall be submitted to the Contracting Officer, Christopher Brailer (christopher_brailer@ios.doi.gov).

This RFQ does not commit the Government to any costs incurred in the preparation and submission of a quote or for any other costs incurred by any firm submitting a quote in response to this solicitation. Note specifically that the Offeror will not be participating in a sealed bid procurement process under this acquisition method. Issuance of this RFQ does not constitute an award commitment on the part of the Government.

A quote that is orderly and sufficiently documented will enable the Government to perform a thorough and fair evaluation. Quotes that fail to address any of the evaluation criteria may be deemed incomplete, and the quote may be removed from further consideration.

Quotes must set forth full, accurate, and complete information as required by this RFQ, (including attachments), if applicable. The penalty for making false statements is prescribed in 18 U.S.C. 1001.

Quote must be valid for a minimum of 60 days.

https://www.acquisition.gov/far/part-12#FAR_Subpart_12_6 mailto:christopher_brailer@ios.doi.gov

Interchangeable Words: The following roles/words denote different legal terms and ramifications: contractor, offeror, firm and company, however for the purpose of this solicitation they are used interchangeably. In addition, the word “requirement” can be used interchangeably to mean one, a combination, or all of the following: 1) Performance Work Statement (PWS), and 2) Solicitation.

Award is subject to and based on the availability of funds.

Including all other factors, to qualify for award, an offeror must be determined responsible in accordance with Federal Acquisition Regulation Part 9.

The Standard Form (SF) 1449 Solicitation/Contract/Order for Commercial Items must be returned along with the SF 30 Amendment of Solicitation/Modification of Contract if any amendments are issued.

FAR Clause 52.204-26(c)(1)(2) Covered Telecommunication Equipment or Service Representation certifications must be submitted with quote for the quote to be deemed responsive. If “does” is selected, then FAR Clause 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (d)(1)(2) is required to be completed and submitted with the quote.

Quotes are due by the date and time specified on the cover page of this document. It is the responsibility of offerors to ensure their quote is received by the recipient and by the due date and time. The offeror is to submit a fully compliant quote to the following email addresses: Christopher Brailer, christopher_brailer@ios.doi.gov mailto:christopher_brailer@ios.doi.gov

SCHEDULE OT ITEMS/PRICE SCHEDULE:

Item No. Description Qty Unit Unit Price Total Price

1. Steel Brace Post(Long) 2-

7/8” by 9’

112 EA

2. Steel Brace Post (Short) 2 - 7/8" by 4'

198 EA

3. Steel Brace Rail 2" by 7' 198 EA

4. Drill Stem Mechanical Gate

Closer

21 EA

5. Gate Loop 69 EA

6. Heavy Duty Steel Fence

Post 5 1/2'

5200 EA

7. Heavy Duty Barbed Wire 200 EA

8. Heavy Duty Barbless Wire 66 EA

Total Base Price*

Federal Acquisition Regulation (FAR) and United States Department of Interior Acquisition Regulation (DIAR) Clauses and Provisions

The clauses and provisions contained herein are applicable to any order awarded as a result of this solicitation. The terms and conditions set forth herein supersede all other terms and conditions.

Acceptance of the order in accordance with (IAW) FAR 12.201-1(b)(2) constitutes acceptance of all terms and conditions contained herein.

As part of the Revolutionary FAR Overhaul (RFO), system updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in this solicitation. Contracting officers will rely on representations from offers based on provisions in the solicitation. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

52.252-2 Clauses Incorporated by Reference Feb 1998

This solicitation incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also the full text of the clause may be accessed electronically at Internet address https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52 52.212-4 Terms and Conditions—Commercial Products and Commercial Services (Nov 2025) ☐ Alternate I (Nov 2025) of 52.212-4 52.203-17 Contractor Employee Whistleblower Rights (Nov 2023) 52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (Jan 2017) 52.222-50 Combating Trafficking in Persons (Nov 2025) ☐ Alternate I (Nov 2025) of 52.222-50 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving (May 2024) 52.232-39 Unenforceability of Unauthorized Obligations (Jun 2013) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (Mar 2023) 52.233-3 Protest After Award (Sep 2025) 52.233-4 Applicable Law for Breach of Contract Claim (Sep 2025) 52.240-91 Security Prohibitions and Exclusions (Nov 2025) ☐ Alternate I (Nov 2025) of 52.240-91 52.244-6 Subcontracts for Commercial Products and Commercial Services (Nov 2025)

The following clauses are applicable if checked:

☒ 52.204-13 System for Award Management—Maintenance (Nov 2025) ☒ 52.209-10 Prohibition on Contracting with Inverted Domestic Corporations (Sep 2025) ☒ 52.219-6 Notice of Total Small Business Aside (Nov 2025) ☐ Alternate I (Mar 2020).

☒ 52.222-3 Convict Labor (June 2003) ☒ 52.222-19 Child Labor—Cooperation with Authorities and Remedies (Nov 2025) ☒ 52.222-36 Equal Opportunity for Workers with Disabilities (Nov 2025) ☐ Alternate I (Jul 2014) of 52.222-36

☒ 52.222-90 Addressing DEI Discrimination by Federal Contractors (Apr 2026) ☒ 52.223-23 Sustainable Products and Services (Nov 2025) ☒ 52.225-1 Buy American-Supplies (Nov 2025) ☐ Alternate I (Oct 2022) of 52.225-1

☒ 52.232-33 Payment by Electronic Funds Transfer— System for Award Management (Oct 2018)

DOI-AAAP-0028 ELECTRONIC INVOICING AND PAYMENT REQUIREMENTS-INVOICE

PROCESSING PLATFORM (IPP) (APR 2013)

Payment requests must be submitted electronically through the U. S. Department of the Treasury's Invoice Processing Platform System (IPP).

'Payment request' means any request for contract financing payment or invoice payment by the Contractor. To constitute a proper invoice, the payment request must comply with the requirements identified in the applicable Prompt Payment clause included in the contract, or the clause 52.212-4 Contract Terms and Conditions - Commercial Items included in commercial item contracts. The IPP website address is:

https://www.ipp.gov.

Under this contract, the following documents are required to be submitted as an attachment to the IPP invoice:

Itemized Invoice containing contract number, period of work.

The Contractor shall also submit an electronic copy of the IPP invoice to cbrailer@blm.gov once the invoice has been submitted to IPP. Failure to email the invoice may cause significant delay or possible rejection of your payment request.

The Contractor must use the IPP website to register access and use IPP for submitting requests for payment. The Contractor Government Business Point of Contact (as listed in SAM) will receive enrollment instructions via email from the Federal Reserve Bank of St. Louis (FRBSTL) within 3 - 5 business days of the contract award date. Contractor assistance with enrollment can be obtained by contacting the IPP Production Helpdesk via email IPPCustomerSupport@fiscal.treasury.gov or phone

(866) 973-3131.

If the Contractor is unable to comply with the requirement to use IPP for submitting invoices for payment, the Contractor must submit a waiver request in writing to the Contracting Officer with its proposal or quotation.

(End of Local Clause) https://www.ipp.gov/ mailto:cbrailer@blm.gov mailto:IPPCustomerSupport@fiscal.treasury.gov

SOLICITATION INFORMATION

Award Type It is anticipated that a firm-fixed price contract will be awarded as a result of this synopsis/solicitation.

The Government intends to make one award from this solicitation. Therefore, to be considered responsive, contractors must submit pricing for all items.

Evaluation and Basis for Award The provision at FAR 52.212-2, Evaluation—Commercial Products and Commercial Services is not applicable to this solicitation. In lieu of this provision, quotes will be evaluated in accordance with FAR

12.203 based on the criteria listed below. Award will be made to the offeror representing the best value to the Government.

Evaluation Method The Government will evaluate quotations based on the lowest price technically acceptable criteria. Only the lowest priced offer will be evaluated for Technical Acceptability. Should the lowest priced offer not receive an acceptable technical rating, the process will continue in order of lowest priced offer until the lowest price, technically acceptable offer, is identified.

Qualification Requirements Offerors, or the product, ARE required to meet a qualification requirement to be eligible for award. Qualification requirements may be obtained by must have an active registration in SAM.

52.252-1 Solicitation Provisions Incorporated by Reference Feb 1998 This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and providethe appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessedelectronically at this/these address(es):https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-52

52.203-18 Prohibition on Contracting with Entities that Require Certain Internal Confidentiality Agreements or Statements-Representation (Jan 2017)

52.209-2 Prohibition on Contracting with Inverted Domestic Corporations - Representation (Sep 2025)

52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Sep 2025)

52.240-90 Security Prohibitions and Exclusions Representations and Certifications (Nov 2025)

The following provisions are applicable if checked:

☒ 52.204-7 System for Award Management—Registration (Nov 2025) ☐ Alternate I(Nov 2025) to 52.204-7

☒ 52.222-18 Certification Regarding Knowledge of Child Labor for Listed End Products (Feb 2021) ☒ 52.225-2 Buy American Certificate (Oct 2022)

Solicitation/Contract/Order for commercial products and commercial services
Requisition number
Contract number
Award/Effective date
Order number
Solicitation number
Solicitation issue date
For solicitation information call:
Name
Telephone number
Offer due date/local time
Issued by
Code
This acquisition is
NAICS
Size standard
Delivery for free on board (FOB) destination unless block is marked
Discount terms
This contract is a rated order under the defense priorities and allocations system - DPAS
Rating
Method of solicitation
Deliver to
Code
Administered by
Code
Contractor/Offeror
Code
Facility code
Telephone number
Check if remittance is different and put such address in offer
Payment will be made by
Code
Submit invoices to address shown in block 18a unless block below is checked
Accounting and appropriation data
Total award amount
Solicitation incorporates by reference
Addenda
Contract/purchase order incorporates by reference
Addenda
Contractor is required to sign this doc. and return:
Award of contract: reference
Signature of offeror/contractor
Name and title of signer
Signer date signed
Signature of contracting officer
Name of contracting officer
Contracting officer date signed
Authorized for local reproduction. Previous edition is not usable
Standard Form 1449 (Rev. 11/2021)
Quantity in column 21 has been
Signature of authorized government representative
Date
Printed name and title of authorized government representative
Mailing address authorized government representative
Telephone number of authorized government representative
Email number of authorized government representative
Ship number
Voucher number
Amount verified correct for
Payment
Check number
Stock record (S/R)
S/R account number
S/R voucher number
Paid by
I certify this account is correct and proper for payment
Signature and title of certifying officer
Date
Received by
Received at
Date received
Total containers
Standard Form 1449 (rev. 11/2021) Back

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