SHIPPING CONTAINER TALLY
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REQUISITION AND INVOICE/SHIPPING DOCUMENT
1. FROM: (Include ZIP Code)
SHEET
NO. OF
5. REQUISITION
6. REQUISITION NUMBER
NO.
SHEETS
DATE
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
12. DATE SHIPPED (YYYYMMDD)
b.
13. MODE OF SHIPMENT
14. BILL OF LADING NUMBER
15. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NO.
4. APPROPRIATIONS DATA
AMOUNT
UNIT
QUANTITY
TYPE
ITEM
FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES
SUPPLY
CON-
UNIT PRICE
REQUESTED
CON-
TOTAL COST
ACTION
TAINER
OF
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-
CON-
WEIGHT
(YYYYMMDD)
R
CUBE
RECEIVED
TAINERS
TAINER
E
$0.00
EXCEPT AS
O
C
R
NOTED
F
A
E
P
BY
GRAND TOTAL
CHECKED BY
QUANTITIES
DATE
S
C
I
(YYYYMMDD)
RECEIVED
H
T
E
$0.00
I
EXCEPT AS
U
I
P
L
NOTED
P
M
A
PACKED BY
BY
20. RECEIVER'S
T
DATE
E
T
(YYYYMMDD)
VOUCHER NO.
N
I
POSTED
T
O
TOTAL
N
DD FORM 1149, JAN 2016
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PREVIOUS EDITION IS OBSOLETE.
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