TE_3_-_GFP_-DD_Form_1149_sol.pdf
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- W91247-16-T-0019
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GFP DD Form 1149
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The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0246), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
REQUISITION AND INVOICE/SHIPPING DOCUMENT
Form Approved OMB No. 0704-0246 Expires Feb 28, 2006
PLEASE DO NOT RETURN YOUR FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE ADDRESS IN ITEM 2.
1. FROM: (Include ZIP Code) SHEET
NO.
NO. OF
SHEETS
5. REQUISITION
DATE
6. REQUISITION NUMBER
7. DATE MATERIAL REQUIRED (YYYYMMDD) 8. PRIORITY
9. AUTHORITY OR PURPOSE2. TO: (Include ZIP Code)
3. SHIP TO - MARK FOR
10. SIGNATURE 11a. VOUCHER NUMBER & DATE (YYYYMMDD)
12. DATE SHIPPED (YYYYMMDD) b.
13. MODE OF SHIPMENT
15. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NO.
14. BILL OF LADING NUMBER
4. APPROPRIATIONS DATA AMOUNT
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 MATS OR MSTS 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 SHEET TOTAL
QUANTITIES
RECEIVED
EXCEPT AS
NOTED
DATE
(YYYYMMDD)
BY GRAND TOTAL
POSTED
DATE
(YYYYMMDD)
BY 20. RECEIVER'S
VOUCHER NO.
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
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 99DD FORM 1149, JUN 2003 100
PREVIOUS EDITION IS OBSOLETE.
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
REQUISITION AND INVOICE/SHIPPING DOCUMENT (Continuation Sheet) Form Approved OMB No. 0704-0246 Expires Feb 28, 2006
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 99DD FORM 1149C, JUN 2003 100
PREVIOUS EDITION IS OBSOLETE.
SHEET NO. NO. OF SHEETS 6. REQUISITION NUMBER 11a. VOUCHER NUMBER AND DATE b. VOUCHER NUMBER AND DATE
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)
SHEET TOTAL
The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0246), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THIS ADDRESS. RETURN COMPLETED FORM TO THE ADDRESS IN ITEM 2 OF DD FORM 1149.
1_FROM_Include_ZIP_Code: Accountable Officer 406th Army Field Support Brigade, Logistics Readiness Center Bragg 2175 Reilly Rd Fort Bragg, North Carolina 28310-5000
| 2_TO_Include_ZIP_Code: |
| 3_SHIP_TO__MARK_FOR: |
| 4_APPROPRIATIONS_DATA: |
Government Property Administrator
| AMOUNT: $107,084.42 |
| 7_DATE_MATERIAL_REQUIRED: L&DC SUPPORT |
| 8_PRIORITY: |
| 9_AUTHORITY_OR_PURPOSE: |
| 10_SIGNATURE: S |
| 1_la_VOUCHER_NUMBER__DATE: |
| 12_DATE_SHIPPED_YYYYMMDD: |
| b: |
| 13_MODE_OF_SHIPMENT: |
| 14_BILL_OF_LADING_NUMBER: |
| 15_AIR_MOVEMENT_DESIGNATO: |
| 16_TRANSPORTATION_VIA_MAT: |
| 17_SPECIAL_HANDLING: |
| ISSUED_BY: Signature |
| CHECKED_BY: |
| PACKED_BY: |
| TOTAL_CON_TAINERS: |
| TYPE_CON_TAINER: |
| DESCRIPTION1: |
| TOTAL_WEIGHT: |
| TOTAL_CUBE: |
| TOTAL_CON_TAINERS1: |
| TYPE_CON_TAINER1: |
| DESCRIPTION2: |
| TOTAL_WEIGHT1: |
| TOTAL_CUBE1: |
| TOTAL_CON_TAINERS2: |
| TYPE_CON_TAINER2: |
| DESCRIPTION3: |
| TOTAL_WEIGHT2: |
| TOTAL_CUBE2: |
| TOTAL_CON_TAINERS3: |
| TYPE_CON_TAINER3: |
| DESCRIPTION4: |
| TOTAL_WEIGHT3: |
| TOTAL_CUBE3: |
| TOTAL_CON_TAINERS4: |
| TYPE_CON_TAINER4: |
| TOTAL_WEIGHT4: |
| TOTAL_CUBE4: |
| BY1: |
| SHEET_TOTAL: 43671.82 |
| BY2: |
| GRAND_TOTAL: 107,084.42 |
| BY3: |
| SHEET_NO: |
| 6_REQUISITION_NUMBER: |
| 1_la_VOUCHER_NUMBER_AND_D: |
| b_VOUCHER_NUMBER_AND_DATE: |
| sheet: 1 |
| reqdate: Date |
| item1: 1. |
| item2: 2. |
| item3: 3. |
| item4: 4. |
| item5: 5. |
| desc1: 98512N/667001C035664 |
SCALE DIGITAL READER SN: 7D200110007605
desc2: KB1001/7210002312373
PILLOWCASE
desc3: KB1002/7210002312373
PILLOW, BED
desc4: KB1027/721001C086427
SHEET BED LINEN
desc5: KB1028/7210002271526
PAD, MATTRESS (18PER BOX-774EA)
| unit1: EA |
| unit2: EA |
| unit3: EA |
| unit4: EA |
| unit5: BX |
| qty1: 1 |
| qty2: 1040 |
| qty3: 575 |
| qty4: 4041 |
| qty5: 43 |
| supply1: 1 |
| supply2: 1040 |
| supply3: 575 |
| supply4: 4041 |
| supply5: 43 |
| type1: |
| type2: |
| type3: |
| type4: |
| type5: |
| ctr1: |
| ctr2: |
| ctr3: |
| ctr4: |
| ctr5: |
| unitpr1: 400.00 |
| unitpr2: 2.86 |
| unitpr3: 12.97 |
| unitpr4: 3.73 |
| unitpr5: 413.18 |
| cost1: 400.00 |
| cost2: 2974.40 |
| cost3: 7457.75 |
| cost4: 15072.93 |
| cost5: 17766.74 |
| ctrrecdate: |
| qtyrecdate: |
| postdate: |
| recvouch: |
| sheets: 2 |
| item_1: 6. |
| descr_1: KB106A/7210007157985 |
BLANKET, BED
| unit_1: EA |
| qty_1: 960 |
| supp_1: 960 |
| type_1: |
| no_ctr_1: |
| unit_pr_1: 39.96 |
| totalcost_1: 38361.60 |
| item_2: 7. |
| item_3: 8. |
| item_4: 9. |
| item_5: 10. |
| item_6: 11. |
| item_7: |
| item_8: |
| item_9: |
| descr_2: LC100H/351001C135082 |
TRUCK HAND BOX, LAUNDRY SUPPLIES
descr_3: LC100U/3510010092853
CONVEYOR AND STORAGE RACK
SN: 21744A4K009, 21744A4K033
descr_4: LC100U/35101X409267
CONVEYOR AND STORAGE RACK LAUNDRY AP320
descr_5: SA401C/414001C073022
PORT-A-COOL FAN PAC2K36
SN: 13570/07, 145459/07
descr_6: SA401C/414001C161062
FAN 48IN BLACK
| descr_7: LAST ITEM********************************************************** |
| descr_8: |
| descr_9: |
| unit_2: EA |
| unit_3: EA |
| qty_2: 15 |
| supp_2: 15 |
| type_2: |
| no_ctr_2: |
| unit_pr_2: 270.00 |
| totalcost_2: 4050.00 |
| qty_3: 2 |
| supp_3: 2 |
| type_3: |
| no_ctr_3: |
| unit_pr_3: 8259.00 |
| totalcost_3: 16518.00 |
| unit_4: EA |
| qty_4: 3 |
| supp_4: 3 |
| type_4: |
| no_ctr_4: |
| unit_pr_4: 875.00 |
| totalcost_4: 2625.00 |
| unit_5: EA |
| qty_5: 2 |
| supp_5: 2 |
| type_5: |
| no_ctr_5: |
| unit_pr_5: 500.00 |
| totalcost_5: 1000.00 |
| unit_6: EA |
| qty_6: 2 |
| supp_6: 2 |
| type_6: |
| no_ctr_6: |
| unit_pr_6: 429.00 |
| totalcost_6: 858.00 |
| unit_7: ****** |
| qty_7: ********* |
| supp_7: ********* |
| type_7: ****** |
| no_ctr_7: ****** |
| unit_pr_7: ***************** |
| totalcost_7: |
| unit_8: |
| qty_8: |
| supp_8: |
| type_8: |
| no_ctr_8: |
| unit_pr_8: |
| totalcost_8: |
| unit_9: |
| qty_9: |
| supp_9: |
| type_9: |
| no_ctr_9: |
| unit_pr_9: |
| totalcost_9: |
| sht_total: 63412.6 |
| Reset: |
File details come from the government source that posted it. Updated .