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oirrs Aa 'f1, 1V92 `
<br /> • ;• �wutAlrtcta• must su4mit four t:4ples " Tnv4ice)
<br /> Public reporting
<br /> barden for this calle=tiun inianation is esri IdtL i ntctintt erage a hour j�aafansr, incl'ud:ng the lwitl� ,tr• rt
<br /> vip+ingg instructions, se,rchI existing date sources, gatherinS and maintaining the data needed. and caapleti„N and revirAllM the
<br /> collection of inOt
<br /> for■atlon. Sent caavents re ding this bwdenhestimatte�s Service>. Directoratetile,, aspect of hforis clnfarwauion Opu�tiy11~unt
<br /> including Su ions for reducing this burden, to Washinggtcn
<br /> fteperts, 1215 Jeffersun Davis Higiray, Suite 1:04. Prliugtan, VA ? 2-4302, and td the Office of tlanagament and Send
<br /> ractr.cru
<br /> Redacts, Pralect107B4-e1H71, Nasiungton DC 20503. Phase DO HOT RETURN your form to either of these addressors. Snnd Your cuupietetl!
<br /> form to the procurewmit ufficial identified 1n item 6. y
<br /> I. CONTRACT/K*0 ORDER NO. 2. DELIVERY ORDER NO. 3. DATE/ /90R4DFA. 4. REMFIS�-3340-bln2REl1UEST NO. 5. PR1OiiT"
<br /> DACWN5-94-F-0947 i
<br /> 6. ISSUED BY CODE mwdl 7. AOMIHISTEREO BY CODE
<br /> DEPARTMENT OF THE ARMY 8. V0411 roams
<br /> CORPS OF ENGINEERS, SACRAi1ENTO [XJ ili;T
<br /> 13'.5 J STREET 52►q t '1 OTI&
<br /> � 95U14-2922 BOB 1916)-557-&5+ SEE BLOCV( 6 ISte "xl:ect t�l
<br /> 9. CONTRACTOR Vendor Id: 00030215 COOS FACILITY COIL 10.pEL1VI TO FUB POIi1T by 11.1.1
<br /> Dane/94 1�=
<br /> a.2DISCOtUNT Wrt3IS
<br /> ^rc HND TOM HERINU R CONSIRUCTI,Xf
<br /> 1810 BIDWELL STREET 13. HAIL INVOICES T9
<br /> RED BLUFF CA 960of- see Black 15 _
<br /> 14. SHIP TO CODs S i1Pld 15. PAYMENT WILL. BE MADE BY C(� 7. 'i
<br /> USAI ED, snCkA!d NTU DISTRICT IriACED, 5AR1AtINTO11
<br /> Erni. DIV. GEOTEL'H./ED(GA) 17,25DISA3 STRINGEET
<br /> OFFICER JfC r Lw.l4_
<br /> 1sza J STREET 1:25 J STREET 1
<br /> SACRA1iEHT0 CA 95814-292': WW05141`0947 Sf,CR"O CA 95814-29i7 -� `
<br /> 16. EurJ REkY This delivery order is issued an mother Gu,ernwc,tt aSMuy dr iu uccordai,cu will, a'�d
<br /> to teras and caiditicns of above nuuderad cantract.
<br /> PJRCiASE X Reference you 9161 527-5014 fu n1
<br /> ,y.,.-
<br /> . ;:ePT:arCE. THE L'ONITu:C i,i,i Fa:nI.BY m•IY:PTB 71,E 4r•Fh FsPRESLNIED BY THE NUMBEitEU PUaL'i65
<br /> uR 15 by RUDIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO
<br /> _ NFrii VF i:vtirRilCT'CR SlI!NATUAE TYP !) NiY' -
<br /> d nIf this Bax is aarked, suNplier suit sign ikceptance and return the following nuuauer 4
<br /> 1'. .',:CG:ITTNG 4D AP'rlVl'RIFlTION L'HTAlLI'CHL LcE
<br /> 46X3i'Z2 CG CL i'aa42 Vit 210331A im ow EC
<br /> �CIiLL LE OF SUPPLIES/SERVIci 20.GuAwTI'TV
<br /> t9.FIEtS IYV. 11• ORD'EREDJACCEPTED+ i
<br /> I ATTN: TOh MEHP.IN0
<br /> ,
<br /> 6*g01 FLrakISH Lr,H(Ni, MATG,:AL, ;il(D Ei,UirtiF3fT
<br /> 1
<br /> ! Nt FSaw6 TJ nEMUVE UNE til EXISTING
<br /> l,ii+'D CuL u_,,A..RGROUZ� STCRHaF- TkVX (UST): AND Lull; LATtON OF 0,E (i) iTOVFAmEN,
<br /> 1,Wh GAT. ABOVE-GROUND
<br /> r 25. Tvvul. 1�
<br /> quantity accepted by the Govi-neent 24• t11f1TED SAILS CF AHcRIG -,--
<br /> is s,ram as quantlt ordered, lndicatr
<br /> i. oy a. 1f differ- tater actual �U1FF`tFCs1ES -----
<br /> quw,2ity occepittl 4alrx+ quantity BY. f tiTHEA m06 1vWliui l'iiii;0tlENltifi GFFIwti
<br /> a V _d and encircle.
<br /> 2h. DJFd1T1'TY IN CVlut a R S BEEN
<br /> 27, SKIP. f.'• 23. D.0' NiUCHER'NO. INITIALS -
<br /> [ lu 'rECT D I uaCE1VE0 t J:'1 dTtD AtJ11 CUIaFORRa TV THE ^- ..
<br /> CO�tiRACT EItlP7 a `tOrLD [ I PARTIAL -----^^- �---�- , ^r :,j:1,
<br /> [ 1 F1vAL 32. FAtD dY `3S. 1d , !F71FI is (.:N
<br /> t
<br /> h ---- PAY if
<br /> Dr;!E s. x« u„E Ur' rartORitEuri'ritiMr�:t REP. 31.
<br /> �. 36.I certify inti account is ccrect and proper far payrmt [ T PARTE 1 35' blLL (f L JJa,w r..
<br /> E 1 FINAL
<br /> DATE S1Gt7A1URE RN17 TITLE OF CERTIFY1tUi OFFICER ^- 4_. S!R VLllClitti W.
<br /> -I
<br /> 39.GAIL AiC'D 40. TOTAL CONT. 41. 64R ACC"i T NLrA" v
<br /> I 37. kkC'D AS 3d. RECEl1c0 BY _
<br /> v PrVvio� cdltiuns
<br />
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