Salient_Characteristics_-_Combative_Mat_and_Wall_Padding.pdf

SECTION : G3 DATE SUBMITTED: DATE NEEDED:

REQUESTED BY: SSG Ozuka, Cesar E.

VENDOR'S NAME:

ITEM DESCRIPTION NSN U/I QTY UNIT PRICE SUBTOTAL PRICE

Mat Grappling, Tatami: 2m x 1m x 40mm EA 96 Mat Grappling, Tatami: 1m x 1m x 40mm EA 4 Pad Wall: 72" x 24" x 2" EA 46 Mounting Channels EA 16

Required Delivery Date (RDD): GRAND TOTAL:

Received BY:

Rank/Grade:

Date Received:

Signature:

DEPARTMENT OF THE ARMY

HEADQUARTERS AND HEADQUARTERS BATTERY

94TH ARMY AIR AND MISSILE DEFENSE COMMAND

FORT SHAFTER, HAWAII 96858

SUPPLY REQUEST FORM