NO. REQUEST FOR PURCHASE FTDSC4701480047 INSTALLATION DATE Dukrit Air Base Today TO: CONTRACTING OFFICER CLASS Deployed CCO THROUGH: CONTRACT, PURCHASE ORDER OR DELIVERY ORDER NO. Finance FROM: (Insert RC/CC, If applicable) TRANSPORTATION OFFICE 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 VEHICLE REPAIR 1 LS 110,00.00 $110,000.00 SUGGESTED SOURCE: RENTAL CONTRACTOR ASSUME: EVERYTHING IS 100% CORRECT $110,000.00 TOTAL PURPOSE FIX RENTAL CARS DAMAGED UNDER VEHICLE RENTAL CONTRACT DATE SIGNATURE TYPED NAME AND GRADE OF REQUESTING OFFICIAL TELEPHONE I. M. TRANSPO, , USAF xxx-xxx-1234 SIGNATURE DATE TYPED NAME AND GRADE OF APPROVING OFFICIAL TELEPHONE BRADLEY R BUSCH, , USAF xxx-xxx-4321 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 1111111 222 33AA 444444 5555 0000 66666B 777777 $110,000.00 DATE TYPED NAME AND GRADE OF CERTIFYING OFFICIAL SIGNATURE Nathan O. Monney N.O. MONNEY, MSgt , USAF AF FORM 9, MAR 77 (EF)
REQUEST FOR PURCHASE NO. FTDSC4701480047 INSTALLATION Dukrit Air Base DATE Today TO: CONTRACTING OFFICER Deployed CCO CLASS THROUGH: Finance CONTRACT, PURCHASE ORDER OR DELIVERY ORDER NO. FROM: (Insert RC/CC, If applicable) TRANSPORTATION OFFICE 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 VEHICLE REPAIR SUGGESTED SOURCE: RENTAL CONTRACTOR ASSUME: EVERYTHING IS 100% CORRECT 1 LS 110,00.00 $110,000.00 TOTAL $110,000.00 PURPOSE FIX RENTAL CARS DAMAGED UNDER VEHICLE RENTAL CONTRACT DATE TYPED NAME AND GRADE OF REQUESTING OFFICIAL SIGNATURE I. M. TRANSPO, , USAF TELEPHONE xxx-xxx-1234 DATE TYPED NAME AND GRADE OF APPROVING OFFICIAL BRADLEY R BUSCH, , USAF SIGNATURE TELEPHONE xxx-xxx-4321 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 1111111 222 33AA 444444 5555 0000 66666B 777777 AMOUNT $110,000.00 DATE TYPED NAME AND GRADE OF CERTIFYING OFFICIAL N.O. MONNEY, MSgt , USAF SIGNATURE Nathan O. Monney AF FORM 9, MAR 77 (EF)
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