NO. REQUEST FOR PURCHASE FCESAA20250100 INSTALLATION DATE Your Base Current Date TO: CONTRACTING OFFICER CLASS Deployed Contracting Activity THROUGH: CONTRACT, PURCHASE ORDER OR DELIVERY ORDER NO. Deployed Finance Activity FROM: (Insert RC/CC, If applicable) Medical Group IT IS REQUESTED THAT THE SUPPLIES AND SERVICES ENUMERATED BELOW AND IN THE ATTACHED LIST, BE PURCHASED FOR FOR DELIVERY TO NOT THAN Two Weeks ESTIMATED UNIT ESTIMATED ITEM DESCRIPTION OF MATERIAL OR SERVICES TO BE PURCHASED QUANTITY UNIT PRICE TOTAL COST Classified Shredder 0001 1 EA $500.00 $500.00 $500.00 TOTAL Purchase a classified shredder PURPOSE $66,420.00 DATE SIGNATURE TYPED NAME AND GRADE OF REQUESTING OFFICIAL Michael M. Moser TELEPHONE 25 February MICHAEL M. MOSER, SSgt, USAF 225-1111 2002 Go For, Medical Group SIGNATURE DATE TYPED NAME AND GRADE OF APPROVING OFFICIAL P.W. Works P.W. WORKS, Major, USAF 25 February TELEPHONE Commander, Medical Group 2002 225-1112 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 5723400 302 6522 203456 592 876000 (HK) 66,420.00 $ TYPED NAME AND GRADE OF CERTIFYING OFFICIAL SIGNATURE DATE G. Money G. Money, TSgt, USAF Today AF FORM 9 MAR 77 (EF)
REQUEST FOR PURCHASE NO. FCESAA20250100 INSTALLATION Your Base DATE Current Date TO: CONTRACTING OFFICER Deployed Contracting Activity CLASS THROUGH: Deployed Finance Activity CONTRACT, PURCHASE ORDER OR DELIVERY ORDER NO. FROM: (Insert RC/CC, If applicable) Medical Group IT IS REQUESTED THAT THE SUPPLIES AND SERVICES ENUMERATED BELOW AND IN THE ATTACHED LIST, BE PURCHASED FOR FOR DELIVERY TO NOT THAN Two Weeks ITEM DESCRIPTION OF MATERIAL OR SERVICES TO BE PURCHASED QUANTITY UNIT ESTIMATED UNIT PRICE ESTIMATED TOTAL COST 0001 Classified Shredder 1 EA $500.00 $500.00 TOTAL $500.00 $66,420.00 PURPOSE Purchase a classified shredder DATE TYPED NAME AND GRADE OF REQUESTING OFFICIAL SIGNATURE Michael M. Moser 25 February 2002 MICHAEL M. MOSER, SSgt, USAF Go For, Medical Group TELEPHONE 225-1111 DATE 25 February 2002 TYPED NAME AND GRADE OF APPROVING OFFICIAL P.W. WORKS, Major, USAF Commander, Medical Group SIGNATURE P.W. Works TELEPHONE 225-1112 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 5723400 302 6522 203456 592 876000 (HK) AMOUNT $ 66,420.00 DATE Today TYPED NAME AND GRADE OF CERTIFYING OFFICIAL G. Money, TSgt, USAF SIGNATURE G. Money AF FORM 9 MAR 77 (EF)
Classified%20Shredder%20Purchase-Chapter%204.docx