Rus Form 251 - Materials Receipt
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1Instructions
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0572-0107. The time required to complete this
information is estimated to average 60 minutes 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.
U.S. Department of Agriculture
Rural Utilities Service
OF
PAGE
PAGES
MATERIALS RECEIPT
DATE
Instructions: Prepare three (3) copies. Forward original to Owner, one copy to Contractor and one copy to
-
-
Engineer.
MANUFACTURER
UNIT
EXTENDED
ITEM*
DESCRIPTION OF ITEM
AND CATALOG
QUANTITY
COST
COST
NUMBER
TOTAL
RECEIVED BY
FOR
CONTRACTOR
OWNER
* Item corresponds with item in list of materials in construction drawings.
RUS Form 251 (Rev. 2-95)
Instructions
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