Dd Form 1149 - Requisition And Invoice/shipping Document - 2006
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2SHIPPING CONTAINER TALLY
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REQUISITION AND INVOICE/SHIPPING DOCUMENT
OMB No. 0704-0246
OMB approval expires Apr 30, 2009
The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate (0704-0246). Respondents
should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE ADDRESS IN ITEM 2.
1. FROM: (Include ZIP Code)
SHEET
5. REQUISITION
6. REQUISITION NUMBER
NO. OF
DATE
NO.
SHEETS
7. DATE MATERIAL REQUIRED (YYYYMMDD)
8. PRIORITY
2. TO: (Include ZIP Code)
9. AUTHORITY OR PURPOSE
10. SIGNATURE
11a. VOUCHER NUMBER & DATE (YYYYMMDD)
3. SHIP TO - MARK FOR
b.
12. DATE SHIPPED (YYYYMMDD)
13. MODE OF SHIPMENT
14. BILL OF LADING NUMBER
15. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NO.
4. APPROPRIATIONS DATA
AMOUNT
QUANTITY
FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES
UNIT
TYPE
CON-
ITEM
SUPPLY
UNIT PRICE
TOTAL COST
REQUESTED
CON-
TAINER
OF
ACTION
NO.
TAINER
ISSUE
NOS.
(a)
(b)
(h)
(d)
(f)
(i)
(e)
(g)
(c)
0.00
0.00
0.00
0.00
0.00
16. TRANSPORTATION VIA AMC OR MSC CHARGEABLE TO
17. SPECIAL HANDLING
ISSUED BY
BY
SHEET TOTAL
TOTAL
DATE
18.
TYPE
TOTAL
19.
CONTAINERS
TOTAL
DESCRIPTION
CON-
(YYYYMMDD)
CON-
WEIGHT
R
CUBE
RECEIVED
TAINERS
TAINER
E
0.00
EXCEPT AS
O
C
R
NOTED
F
A
E
P
CHECKED BY
BY
GRAND TOTAL
QUANTITIES
DATE
S
C
I
(YYYYMMDD)
RECEIVED
H
T
E
I
EXCEPT AS
U
I
P
L
NOTED
P
M
A
PACKED BY
BY
20. RECEIVER'S
DATE
E
T
T
VOUCHER NO.
(YYYYMMDD)
N
I
POSTED
T
O
TOTAL
N
DD FORM 1149, JUL 2006
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Parent category: Business