Belly Button President/Owner NO. REQUEST FOR PURCHASE XXXXXXXXXXXXXXXX INSTALLATION DATE Disaster Today TO: CONTRACTING OFFICER CLASS Deployed Contracting Activity THROUGH: CONTRACT, PURCHASE ORDER OR DELIVERY ORDER NO. Deployed Finance Activity FROM: (Insert RC/CC, If applicable) Transportation IT IS REQUESTED THAT THE SUPPLIES AND SERVICES ENUMERATED BELOW AND IN THE ATTACHED LIST, BE PURCHASED FOR FOR DELIVERY TO NOT LATER THAN Trans Yesterday ESTIMATED UNIT ESTIMATED ITEM DESCRIPTION OF MATERIAL OR SERVICES TO BE PURCHASED QUANTITY UNIT PRICE TOTAL COST 1 Request the establishment of a BPA(s) for vehicle window 1 $30,000.00 $30,000.00 repair/replacement Suggested Sources: 1. Broken Glass Phone: 548-6621 2. Safety Glass Phone: 559-9857 TOTAL $100,000.00 Vehicle window repair/replacement DATE SIGNATURE TYPED NAME AND GRADE OF REQUESTING OFFICIAL Greg Crackle TELEPHONE Greg Crackle, MSgt, USAF Today Trans Squadron 2-2222 SIGNATURE DATE TYPED NAME AND GRADE OF APPROVING OFFICIAL Glassy Eye Major, USAF GLASSY EYE Today TELEPHONE Commander, 2-2233
Belly Button President/Owner REQUEST FOR PURCHASE NO. XXXXXXXXXXXXXXXX INSTALLATION Disaster DATE Today TO: CONTRACTING OFFICER Deployed Contracting Activity CLASS THROUGH: Deployed Finance Activity CONTRACT, PURCHASE ORDER OR DELIVERY ORDER NO. FROM: (Insert RC/CC, If applicable) Transportation IT IS REQUESTED THAT THE SUPPLIES AND SERVICES ENUMERATED BELOW AND IN THE ATTACHED LIST, BE PURCHASED FOR FOR DELIVERY TO Trans NOT LATER THAN Yesterday ITEM DESCRIPTION OF MATERIAL OR SERVICES TO BE PURCHASED QUANTITY UNIT ESTIMATED UNIT PRICE ESTIMATED TOTAL COST 1 Request the establishment of a BPA(s) for vehicle window repair/replacement Suggested Sources: 1. Broken Glass Phone: 548-6621 2. Safety Glass Phone: 559-9857 1 $30,000.00 $30,000.00 TOTAL $100,000.00 Vehicle window repair/replacement DATE TYPED NAME AND GRADE OF REQUESTING OFFICIAL SIGNATURE Greg Crackle Today Greg Crackle, MSgt, USAF Trans Squadron TELEPHONE 2-2222 DATE Today TYPED NAME AND GRADE OF APPROVING OFFICIAL GLASSY EYE Major, USAF Commander, SIGNATURE Glassy Eye TELEPHONE 2-2233