Form DD-1149 Invoice/Shipping Document

Defense Federal Acquisition Regulations Supplement (DFARS) Part 245, Government Property, related clauses in DFARS 252, and related forms in DFARS 253.

dd1149

Defense Federal Acquisition Regulations Supplement (DFARS) Part 245, Government Property, related clauses in DFARS 252, and related forms in DFARS 253.

OMB: 0704-0246

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SHIPPING 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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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


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