Dd Form 448 - Military Interdepartmental Purchase Request printable pdf download

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MILITARY INTERDEPARTMENTAL PURCHASE REQUEST

2. FSC

3. CONTROL SYMBOL NO.

4. DATE PREPARED

5. MIPR NUMBER

6. AMEND NO.

01-Aug-14

DWAM41882

BASIC

Washington Headquarters Services

Commanding Officer

7. TO:

8. FROM:

Room 1155, The Pentagon

SSC Pacific

Washington, DC 20301-1155

53560 Hull Street

whs.pentagon.fmd.mbx.program-budget-execution@mail.mil

San Diego, CA 92152-5000

FIN BPN: DODH91269

9. ITEMS

ARE

ARE NOT INCLUDED IN THE INTERSERVICE SUPPLY SUPPORT PROGRAM

AND REQUIRED INTERSERVICE SCREENING

HAS

HAS NOT BEEN ACCOMPLISHED

ITEM

DESCRIPTION (FEDERAL STOCK NUMBER,

ESTIMATED

NO.

NOMENCLATURE, SPECIFICATION, AND/OR

QTY

UNIT

TOTAL

DRAWING NO., ETC

PRICE

$26,800.00

Reimbursable MIPR for Multichannel Learning System; PoP 1 August 2014 - 30

November 2014; PE 0603923D8Z, DoDAAC HQ0157

Project POC: Julie Howell, julie.howell@navy.mil, 619-553-2349, Financial POC:

Amelia Moran, 619-553-2392, Amelia.moran@navy.mil; Economy Act; non-

severable.

PPA:

DODAAC:

These funds expire: 30 Sep 2015

For Severable requirements: These funds are available for severable service requirements crossing fiscal years for

a period not to exceed one year, where the period of any resultant contract for services commences this fiscal year.

All funds not placed on contract this fiscal year shall be returned promptly to the ordering activity, but no later

than one year after the acceptance of the order or upon completion of the order, whichever is earlier. OR, For Non-

Severable requirements: I certify that the goods or non-severable services to be acquired under this agreement are

necessary expense of the appropriation charged, and represent a bona fide need of the fiscal year in which these

funds are obligated.

These funds may not be direct cited for government travel purpose. These funds are provided on a reimbursable

cite basis and no obligation may be incurred after 30 Sept 2015. This MIPR may be returned as "Not Accepted,

by" checking BLK#7 on the DD 448-2. Send DD 448-2 no later than 30 days after receipt of this MIPR per

tDFARS PGI 208.7004-2 and confirmation copy of the obligating document Contract, 448-2, etc) to your Funding

Agency POC so the obligations can be properly recorded.

10. SEE ATTACHED PAGES FOR DELIVERY SCHEDULES, PRESERVATION, AND PACKAGING

11. GRAND TOTAL

INSTRUCTIONS, SHIPPING INSTRUCTIONS, AND INSTRUCTIONS FOR DISTRIBUTION OF CONTRACTS

$26,800.00

AND RELATED DOCUMENTS.

12. TRANSPORTATION ALLOTMENT

13. MAIL INVOICE TO (PMT WILL BE MADE BY)

(USED IF FOB CONTRACTORS PLANT)

Defense Finance and Accounting Services // Central Revenue

Office, Column 220K // 8899 East 56th Street,

Indianapolis, IN 46249-0201 // ALC/DSSN 00005570

PAY OFFICE DODAAD

HQ0105

14. FUNDS FOR PROCUREMENT ARE PROPERLY CHARGEABLE TO ALLOTMENTS SET FORTH BELOW, THE

AVAILABLE BALANCES OF WHICH ARE SUFFICIENT TO COVER THE ESTIMATED TOTAL PRICE.

ACRN

APPROPRIATION

LIMIT/

SUPPLEMENTAL ACCOUNTING CLASSIFICATION

ACCTG

AMOUNT

SUBHEAD

DODAAD

9740400

1120

P4923 0403 253H 96KM97 049447 DWAM41882

$26,800.00

15. AUTHORIZING OFFICER

16. SIGNATURE

17. DATE

MCCAIN.CYNTHIA

Digitally signed by

01-Aug-14

Cynthia McCain

MCCAIN.CYNTHIA.LOR.1202413320

DN: c=US, o=U.S. Government, ou=DoD, ou=PKI,

.LOR.1202413320

ou=WHS, cn=MCCAIN.CYNTHIA.LOR.1202413320

Date: 2014.08.01 12:06:54 -04'00'

PREVIOUS EDITION IS OBSOLETE.

DD FORM 448, JUN 72 (EG)

Dd Form 448 - Military Interdepartmental Purchase Request

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