Dd Form 1164 - Service Order For Personal Property

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SERVICE ORDER FOR PERSONAL PROPERTY
1. TO (Contractor)
2. FROM (Ordering Office)
a. NAME
a. NAME
b. ADDRESS (Street, City, State, ZIP Code)
b. ADDRESS (Street, City, State, ZIP Code)
3. THIS SERVICE ORDER IS ISSUED AND AN ORDER IS HEREBY PLACED WITH YOU, ACCEPTING YOUR OFFER (ORAL OR WRITTEN) FOR
SERVICES ON (enter date)
,
, SUBJECT TO THE PROVISIONS OF THE BELOW-NUMBERED BASIC
ORDERING AGREEMENT FOR THE FOLLOWING SERVICES:
a. SCAC CODE
b. FEDERAL AGENCY
c. APPROPRIATION
d. BASIC ORDERING AGREEMENT NUMBER
e. MODIFICATION
IDENTITY
NUMBER
g. LOT NUMBER
h. LOCATION OF PROPERTY (Street, City, State, ZIP Code)
f. SERVICE ORDER NUMBER
(1) OLD
(2) NEW
i. ESTIMATED
k. STORAGE EXPIRATION
l. ESTIMATED WEIGHT
m. WEIGHT IN STORAGE
j. PICK-UP DATE (YYYYMMDD)
STORAGE PERIOD
DATE (YYYYMMDD)
(ACTUAL)
n. OWNER
(1) NAME (Last, First, Middle Initial)
(2) PERMANENT ADDRESS (Street, City, State, ZIP Code)
(3) PAY GRADE
(4) SSN
4. NEW ACCOUNTS - SERVICES ORDERED
a. PACKING
c. DRAYAGE-IN
d. HANDLING-IN
e. STORAGE
b. SPECIAL SERVICES
(2) EXPENSIVE/VALUABLE
ITEM I
ITEM III
ITEM IV
ITEM V
(1) WARDROBE - ITEM IIA
ITEM - ITEM IIB
RATE
NO.
RATE
NO.
RATE
ZONE
RATE
RATE
RATE
$
$
$
$
$
$
5. REMOVAL ACTIONS
a. APPROPRIATION IDENTITY
b. STORAGE REMOVAL DATE
c. DELIVERY ADDRESS (Street, City, State, ZIP Code)
(YYYYMMDD)
d. SERVICES ORDERED
(3) DRAYAGE-OUT
(4) UNPACKING
(5) WEIGHT
(5) WEIGHT
(5) WEIGHT
(1) HANDLING IN
(2) HANDLING OUT
ITEM IV
ITEM VI
ITEM VII
ITEM VIII
REHANDLED
REMOVED
REMAINING
RATE
RATE
ZONE
RATE
RATE
$
$
$
$
6. REMARKS
7. SPECIAL INSTRUCTIONS
a. MAIL INVOICES TO:
b. STORAGE AUTHORITY:
c. MAXIMUM WEIGHT CHARGEABLE TO GOVERNMENT
LBS. Weight in excess of such maximum will be charged to the owner.
d. ESTIMATED COST OF THE SERVICES IS $
. You are not to perform any service which will result in contract costs in excess of
the above sum, unless authorized in writing by the ordering officer.
e. ACCOUNTING CLASSIFICATION:
8. CERTIFICATION
(To be completed by Ordering Office)
Commercial storage has been determined to be more economical than government storage.
a. TYPED NAME (Last, First, Middle Initial)
b. TITLE
c. SIGNATURE
d. DATE SIGNED
(YYYYMMDD)
DD FORM 1164, SEP 1998 (EG)
Original
2
3
PREVIOUS EDITION IS OBSOLETE.
COPY DESIGNATION:
(X)
4
5
6
7
Designed using Perform Pro, WHS/DIOR, Sep 98
Reset

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