Exhibit-E.pdf

Exhibit E

INSTRUCTIONS TO COMPLETE

EXHIBIT E / DA FORM 3161

REQUEST FOR ISSUE OR TURN-IN

TISA will complete the following blocks:

Place an X in the issue block.

Block 3. Send To: Vendor’s Name

Block 4. Date Material Required (Required Delivery Date): YYYYMMDD

Block 8. Request From: Activity’s Name and Building Number.

Block 12a. Item Number: As required.

Block 12b. Stock Number: As required

Block 12c. Item Description: Ice, crushed, Ice, block

Exhibit E

Block 12d Unit of Issue: LB

Block 12e. Quantity ordered.

Block 13 . Date ordered: YYYYMMDD By: Signature of requester.

The Contractor will complete the following blocks:

Block 12g. Supply Action: Quantity received.

Block 14. Date delivered: YYYYMMDD By: Signature of delivery person.

The Contractor will obtain the legible signature of the receiver:

Block 15. Date received: YYYYMMDD By: Signature of receiver.”