NO. REQUEST FOR PURCHASE F1TDSC571490057 INSTALLATION DATE Feltstan TO: CONTRACTING OFFICER CLASS Deployed CCO THROUGH: CONTRACT, PURCHASE ORDER Finance OR DELIVERY ORDER NO. FROM: (Insert RC/CC, If applicable) COMMANDER IT IS REQUESTED THAT THE SUPPLIES AND SERVICES ENUMERATED BELOW AND IN THE ATTACHED LIST, BE PURCHASED FOR FOR DELIVERY TO NOT LATER THAN Deployed Commander Deployed Commander ASAP ESTIMATED ESTIMATED ITEM DESCRIPTION OF MATERIAL OR SERVICES TO BE PURCHASED QUANTITY UNIT UNIT PRICE TOTAL COST 001 Coin, Deployment 200 EA $5.00 $1,000.00 SUGGESTED SOURCE: COINS-R-US $1,000.00 TOTAL PURPOSE Momento’s for deployed individuals DATE SIGNATURE TYPED NAME AND GRADE OF REQUESTING OFFICIAL TELEPHONE 20060620 COMMANDER, USAF xxx-xxc-1234 SIGNATURE DATE TYPED NAME AND GRADE OF APPROVING OFFICIAL TELEPHONE 20060620 APPROVING OFFICIAL, USAF xxx-xxc-1234 I certify that the supplies and services listed above and in the attached list are properly chargeable to the following allotments, the available balances of which are sufficient to cover the cost thereof, and the funds have been committed. ACCOUNTING CLASSIFICATION AMOUNT DATE TYPED NAME AND GRADE OF CERTIFYING OFFICIAL SIGNATURE AF FORM 9, MAR 77 (EF)
REQUEST FOR PURCHASE NO. F1TDSC571490057 INSTALLATION Feltstan DATE TO: CONTRACTING OFFICER Deployed CCO CLASS THROUGH: Finance CONTRACT, PURCHASE ORDER OR DELIVERY ORDER NO. FROM: (Insert RC/CC, If applicable) COMMANDER IT IS REQUESTED THAT THE SUPPLIES AND SERVICES ENUMERATED BELOW AND IN THE ATTACHED LIST, BE PURCHASED FOR Deployed Commander FOR DELIVERY TO Deployed Commander NOT LATER THAN ASAP ITEM DESCRIPTION OF MATERIAL OR SERVICES TO BE PURCHASED QUANTITY UNIT ESTIMATED UNIT PRICE ESTIMATED TOTAL COST 001 Coin, Deployment SUGGESTED SOURCE: COINS-R-US 200 EA $5.00 $1,000.00 TOTAL $1,000.00 PURPOSE Momento’s for deployed individuals DATE TYPED NAME AND GRADE OF REQUESTING OFFICIAL SIGNATURE 20060620 COMMANDER, USAF TELEPHONE xxx-xxc-1234 DATE 20060620 TYPED NAME AND GRADE OF APPROVING OFFICIAL APPROVING OFFICIAL, USAF SIGNATURE TELEPHONE xxx-xxc-1234 I certify that the supplies and services listed above and in the attached list are properly chargeable to the following allotments, the available balances of which are sufficient to cover the cost thereof, and the funds have been committed. ACCOUNTING CLASSIFICATION AMOUNT DATE TYPED NAME AND GRADE OF CERTIFYING OFFICIAL SIGNATURE AF FORM 9, MAR 77 (EF)