DD FORM 1149, JUL 2006
PREVIOUS EDITION IS OBSOLETE.
REQUISITION AND INVOICE/SHIPPING DOCUMENT
OMB No. 0704-0246
OMB approval expires Apr 30, 2009
SHIPPING CONTAINER TALLY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
The public reporting burden for this collection of information is estimated to average 1 hour 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, Executive Services Directorate (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)
2. TO: (Include ZIP Code)
3. SHIP TO - MARK FOR
4. APPROPRIATIONS DATA AMOUNT
SHEET
NO.
NO. OF
SHEETS
5. REQUISITION
DATE
6. REQUISITION NUMBER
7. DATE MATERIAL REQUIRED (YYYYMMDD)
8. PRIORITY
9. AUTHORITY OR PURPOSE
10. SIGNATURE
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.
ITEM
NO.
(a)
FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES
(b)
UNIT
OF
ISSUE
(c)
QUANTITY
REQUESTED
(d)
SUPPLY
ACTION
(e)
TYPE
CON-
TAINER
(f)
CON-
TAINER
NOS.
(g)
UNIT PRICE
(h)
TOTAL COST
(i)
16. TRANSPORTATION VIA AMC OR MSC CHARGEABLE TO 17. SPECIAL HANDLING
18.
R
E
C
A
P
I
T
U
L
A
T
I
O
N
O
F
S
H
I
P
M
E
N
T
ISSUED BY
CHECKED BY
PACKED BY
TOTAL
CON-
TAINERS
TYPE
CON-
TAINER
DESCRIPTION
TOTAL
WEIGHT
TOTAL
CUBE
TOTAL
19.
R
E
C
E
I
P
T
CONTAINERS
RECEIVED
EXCEPT AS
NOTED
DATE
(YYYYMMDD)
BY
DATE
(YYYYMMDD)
BY
SHEET TOTAL
GRAND TOTAL
POSTED
BY
20. RECEIVER'S
VOUCHER NO.
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
Adobe Designer 8.0
DATE
(YYYYMMDD)
QUANTITIES
RECEIVED
EXCEPT AS
NOTED
