USM 115.pdf

NUMBER OF PIECES: NUMBER OF PACKAGES TO

BE SHIPPED:

NUMBER OF PACKAGES FOR RETRIEVAL

(PER HQ APPROVAL):

NUMBER OF LINE ITEMS:

ASSET MANAGEMENT SERVICES - Storage Inventory Service of Process (Attach Documents)

RELEASE/RETURN (Shipment / Transportation of Property) ( 007)

DISPOSAL SERVICES (Attach Forfeiture or Disposal Documents)

Contract Number:

Contractor Website:

Fax Number:

JEWELRY, ART, ANTIQUES & COLLECTIBLES STORAGE AND DISPOSAL

CONTRACT SUB-TASK ORDER FORM

SUB-TASK ORDER NUMBER: DATE:CATS ID NUMBER:

PROPERTY CATEGORYINVESTIGATIVE AGENCY/

CONTACT/ADDRESS

USMS CONTACT/OFFICE/ADDRESS

Name of Contact: Name of Contact:

Telephone Number: Telephone Number:

United States Marshals Service IA Name/Address:

TYPE OF SERVICE REQUESTED by DISTRICT OFFICE:

COMMISSION: On Line Sales (_001) Live Auction (_002)

Travel: Retrieval and Release (_008)Diamond Grading Reports (_005)

Live Auction Venue (_009)Electronic Funds Transfer (_006)

COMMENTS:

DATE:COTR SIGNATURE:

DATE:CO SIGNATURE:

DATE:CONTRACTOR SIGNATURE:

USMS AFD JEWELRY PROGRAM

U.S. Department of Justice United States Marshals Service

Form USM-115 Rev. 01/10

Contractor Name:

Project Manager Name:

Contractor Address:

Telephone Number:

Antiques Art Collectibles Collector Coins, Currency Colored Stones & Gems Furs Jewelry, including Watches Precious Metals Sculptures Other (See Comments)

THE FOLLOWING FIELDS ARE FOR HEADQUARTERS USE ONLY:

Asset Forfeiture Division

Smelting (_003) Coin Dealer (_004)

Alternate Storage Location (_011)Destruction of Counterfeit Assets (_010) http://www.lonestarauctioneers.com