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pdfSHIPPING CONTAINER TALLY
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OMB No. 0704-0246
OMB approval expires
REQUISITION AND INVOICE/SHIPPING DOCUMENT
The public reporting burden for this collection of information is estimated to average 30 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. 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, Washington Headquarters Services, Executive Services
Directorate, Information Management Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (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
NO.
5. REQUISITION
DATE
NO. OF
SHEETS
7. DATE MATERIAL REQUIRED (YYYYMMDD)
6. REQUISITION NUMBER
8. PRIORITY
9. AUTHORITY OR PURPOSE
2. TO: (Include ZIP Code)
10. SIGNATURE
3. SHIP TO - MARK FOR
11a. VOUCHER NUMBER & DATE (YYYYMMDD)
b.
12. DATE SHIPPED (YYYYMMDD)
13. MODE OF SHIPMENT
14. BILL OF LADING NUMBER
15. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NO.
D R A F T
4. APPROPRIATIONS DATA
FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES
ITEM
NO.
(a)
(b)
16. TRANSPORTATION VIA AMC OR MSC CHARGEABLE TO
18.
R
E
C O
A F
P
I S
T H
U I
L P
A M
T E
I N
O T
N
ISSUED BY
TOTAL
CONTAINERS
QUANTITY
REQUESTED
SUPPLY
ACTION
(d)
(e)
TYPE
CONTAINER
(f)
CONTAINER
NOS.
(g)
UNIT PRICE
TOTAL COST
(h)
(i)
17. SPECIAL HANDLING
TYPE
CONTAINER
DESCRIPTION
TOTAL
WEIGHT
TOTAL
CUBE
19.
R
E
C
E
I
P
T
CHECKED BY
PACKED BY
DD FORM 1149, 20120925 DRAFT
UNIT
OF
ISSUE
(c)
AMOUNT
CONTAINERS
RECEIVED
EXCEPT AS
NOTED
DATE
(YYYYMMDD)
BY
SHEET TOTAL
QUANTITIES
RECEIVED
EXCEPT AS
NOTED
DATE
(YYYYMMDD)
BY
GRAND TOTAL
DATE
(YYYYMMDD)
BY
20. RECEIVER'S
VOUCHER NO.
POSTED
TOTAL
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PREVIOUS EDITION IS OBSOLETE.
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SHIPPING CONTAINER TALLY
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REQUISITION AND INVOICE/SHIPPING DOCUMENT (Continuation Sheet)
OMB No. 0704-0246
OMB approval expires
The public reporting burden for this collection of information is estimated to average 30 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. 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, Washington Headquarters Services, Executive Services
Directorate, Information Management Division, 4800 Mark Center Drive, Alexandria, VA 22350-3100 (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 THIS ADDRESS. RETURN COMPLETED FORM TO THE ADDRESS IN ITEM 2 OF DD FORM 1149.
SHEET NO.
ITEM
NO.
(a)
NO. OF SHEETS
11a. VOUCHER NUMBER AND DATE
6. REQUISITION NUMBER
FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES
(b)
UNIT
OF
ISSUE
(c)
QUANTITY
REQUESTED
(d)
SUPPLY
ACTION
(e)
b. VOUCHER NUMBER AND DATE
TYPE
CONTAINER
(f)
CONTAINER
NOS.
(g)
UNIT PRICE
TOTAL COST
(h)
(i)
D R A F T
SHEET TOTAL
DD FORM 1149C, 20120925 DRAFT
51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100
PREVIOUS EDITION IS OBSOLETE.
Reset
File Type | application/pdf |
File Modified | 2012-09-25 |
File Created | 2012-09-25 |