W. Cory, MAJ FC 23RD FMSu $1,000.00 $1,000.00 1ST $1,000.00 MNT DEPARTMENT OF THE ARMY COMMERCIAL VENDOR SERVICES f 23RD FMSu FORT STEWART, GA 31314 BUS. DATE: 28 JUN ** $1,000.00 $1,000.00 1ST $1,000.00 MNT W. Cory, MAJ FC 021202014D10 A2ABM2ABM00 5740.0000 131079QDPW EA250 C5NZDG56720038 S09076 $1,000.00 RECEIVED IN FINANCE CVS 10 JUL ** 6348-58776 DTD 28JUN** PE #1 DECEMBER 2012 5
W. Cory, MAJ FC 23RD FMSu $800.00 $800.00 1ST $800.00 MNT DEPARTMENT OF THE ARMY COMMERCIAL VENDOR SERVICES 23RD FMSu BUS. DATE: 28 JUN ** $800.00 $800.00 1ST $800.00 MNT W. Cory, MAJ FC 021202011D09 A2ABN2ABN00 6100.2617 131096QLOG000000 CA200 W4RNAA32740020021001 S09076 $800.00 RECEIVED IN FINANCE CVS 10 JUL ** 6348-58761 DTD 28JUN** PE #1 DECEMBER 2012 7
DD FORM 250 (COMPUTER LOOK ALIKE) 9 MATERIAL INSPECTION 1. PROC. INSTRUMENT ID (CONTRACT) ORDER NO 6. INVOICE 7. PAGE OF AND RECEIVING REPORT DAFI01 ** C 4612 8. ACPT PT: FT STEWART 2. SHIPMENT # 3. DATE SHIPPED 4. B/L DISCOUNT TERMS 456-** 24 JUN ** NET 30 9. PRIME CONTRACTOR CODE 10. ADMINSTER BY CODE XEROX CORPORATION CONTRACTING & PROCUREMENT 1102 CENTRAL AVE. FORT STEWART, GA 31314 DALLAS, TX 76201 11. SHIPPED FROM CODE FOB 12. PAYMENT WILL BE MADE BY: (IF OTHER THAN 9) FINANCE OFFICE ATTN: COMMERICAL VENDOR SERVICES FT STEWART, GA 31314 13. SHIPPED TO CODE 14. MARKED FOR CODE SEE DESCRIPTION BELOW 15. ITEM 16. STOCK/PART NO DESCRIPTION 17. QUANTITY* 18. 19. 20. NO (INDICATE # OF SHIPPING CONTAINERS) SHIP/REC’D UNIT UNIT PRICE AMOUNT 0001 GENERAL MAINTENANCE FOR OFFICE COPIERS 1 MO $259.95 $259.95 LOCATED IN BLDG 482, ROOMS 101 & 105. MAINTENANCE OF COPIERS WILL BE PERFORMED ONCE MONTHLY UNLESS GENERAL REPAIRS ARE NECESSARY. THIS MAINTENANCE AGREEMENT IS IN EFFECT FOR THE PERIOD 1JUN-31 MAY **. COPIER MODELS ARE: ROOM 101 XEROX 2060, SERIAL # 2582-TR- 5678 ROOM 105 XEROX 4590, SERIAL # 581098-GW-3 21. PROCUREMENT QUALITY ASSURANCE 22. RECEIVER’S USE A. ORIGIN B. DESTINATION QUANTITIES SHOWN IN COLUMN [ ]PQA [ ]ACCEPTANCE OF LISTED [ ]PQA [ ]ACCEPTANCE OF LISTED 17 WERE RECEIVED IN APPARENT ITEMS HAS BEEN MADE BY ME OR ITEMS HAS BEEN MADE BY ME OR GOOD CONDITION EXCEPT AS UNDER MY SUPERVISION AND THEY UNDER MY SUPERVISION AND THEY NOTED CONFORM TO CONTRACT EXCEPT AS CONFORM TO CONTRACT, EXCEPT NOTED HEREIN OR ON SUPORTING AS NOTED HEREIN OR ON 25 JUN ** PAUL ELLIOT DOCUMENTS. SUPPORTING DOCUMENTS DATE REC SIGN. OF AUTH REP TYPE NAME AND OFFICE DATE SIG.OF AUTH REP. DATE SIG. OF AUTH GOVT REP IF QUANTITY RECEIVED BY THE GOV’T IS THE SAME AS QUANTITY SHIPPED, IDICATE BY CHECK TYPE NAME TYPE NAME MARK, IF DIFFERENT ENTER AND OFFICE AND TITLE ACTUAL# RECEIVED & ENCIRCLE 23. CONTRACTOR USE ONLY RECEIVED IN FINANCE CVS 10 JUL ** DD FORM 250 (COMPUTER LOOK ALIKE) 9 PE #1 DECEMBER 2012
DD FORM 250 (COMPUTER LOOK ALIKE) 11 MATERIAL INSPECTION 1. PROC. INSTRUMENT ID (CONTRACT) ORDER NO 6. INVOICE 7. PAGE OF AND RECEIVING REPORT DAFI01 ** M 8194 8. ACPT PT: FT STEWART 2. SHIPMENT # 3. DATE SHIPPED 4. B/L DISCOUNT TERMS 652-** 25 JUN ** NET 30 9. PRIME CONTRACTOR CODE 10. ADMINSTER BY CODE SMITH & CORONA INC. CONTRACTING & PROCUREMENT 2121 LUDLOW STREET FORT STEWART, GA 31314 RICHMOND HILL, GA 31324 11. SHIPPED FROM CODE FOB 12. PAYMENT WILL BE MADE BY: (IF OTHER THAN 9) FINANCE OFFICE ATTN: COMMERICAL VENDOR SERVICES FT STEWART, GA 31314 13. SHIPPED TO CODE 14. MARKED FOR CODE DIRECTOR, LOGISTICS DIVISION BLDG: 616 15. ITEM 16. STOCK/PART NO DESCRIPTION 17. QUANTITY* 18. 19. 20 NO (IDICATE # OF SHIPPING CONTAINERS) SHIP/REC’D UNIT UNIT PRICE AMOUNT 0001 SMITH & CORONA WORD PROCESSOR 5 EA $259.75 $1,299.75 MODEL # 289-WP-4592 0002 WORD PROCESSOR PRINTER RIBBONS 15 EA 9.75 $146.25 SERIAL # 025791 21.PROCUREMENT QUALITY ASSURANCE 22. RECEIVER’S USE A. ORIGIN B. DESTINATION QUANTITIES SHOWN IN COLUMN [ ]PQA [ ]ACCEPTANCE OF LISTED [ ]PQA [ ]ACCEPTANCE OF LISTED 17 WERE RECEIVED IN APPARENT ITEMS HAS BEEN MADE BY ME OR ITEMS HAS BEEN MADE BY ME OR GOOD CONDITION EXCEPT AS UNDER MY SUPERVISION AND THEY UNDER MY SUPERVISION AND THEY NOTED CONFORM TO CONTRACT EXCEPT AS CONFORM TO CONTRACT, EXCEPT 30 JUN ** JIM MOORE NOTED HEREIN OR ON SUPORTING AS NOTED HEREIN OR ON DOCUMENT SUPPORTING DOCUMENT DATE REC SIGN. OF AUTH REP TYPE NAME JIM MOORE 3JUL** RAY BELL AND OFFICE CHIEF LOGISTICS DATE SIG. OF AUTH REP. DATE SIG. OF AUTH GOVT REP IF QUANTITY RECEIVED BY THE GOV’T IS THE SAME AS AUANTITY SHIPPED, IDICATE BY CHECK TYPE NAME TYPE NAME MARK, IF DIFFERENT ENTER AND OFFICE AND TITLE ACTUAL# RECEIVED & ENCIRCLE 23. CONTRACTOR USE ONLY RECEIVED IN FINANCE CVS 10 JUL ** DD FORM 250 (COMPUTER LOOK ALIKE) 11 PE #1 DECEMBER 2012
RAY DEARBORN DAFI01-**-M-4164 21 MAY ** PRC 0588 DIRECTOR, CONTRACTING & PROCUREMENT 1/91ST MECH INF X FORT STEWART, GA 31314 HOLSTON COMPUTER FURNITURE 15 JUN ** 1101 HOLSTON DRIVE PEMBROKE, GA 31321 2/10, N/30 SEE ITEM 15 DIRECTOR, INFORMATION MGMT FINANCE OFFICE BLDG 498 ATTN: COMMERCIAL VENDOR SERVICES FORT STEWART, GA 31314 FORT STEWART, GA 31314 X 021202011D010 A2ABB2ABB00 5790.0000 131096DABC0 RC100 GRE12340109003 S09076 0001 COMPUTER SYSTEMS STATION STORAGE SHELF 10 EA $833.00 $8,330.00 MONITOR SHELF, KEYBOARD SHELF, AND PRINTER SHELF, WITH PAPER CATCHER AND SUPPLY SHELF $8,330.00 RECEIVED IN FINANCE CVS 10 JUL ** A.N. PURCELL A.N. PURCELL 2 JUL ** FRED BELL X RAY DEARBORN 30 JUN ** PE #1 DECEMBER 2012 13 COPY 8
A.N. PURCELL DAFI01-**-F-2701 0001 15 MAY ** PRC 3725 DIRECTOR, CONTRACTING & PROCUREMENT X 1/91ST MECH INF FORT STEWART, GA 31314 JOHNSON OFFICE EQUIPMENT 10142 OSCAR DRIVE NET 30 READING, PA 32145 SEE ITEM 15 DIRECTOR, INFORMATION MGMT FINANCE OFFICE BLDG 498 ATTN: COMMERCIAL VENDOR SERVICES FORT STEWART, GA 31314 FORT STEWART, GA 31314 X 021201025F09 A2ABB2ABB00 6730.2623 432100R2D2 EA300 S7FGBK8006638 0001 30’ ADJUSTABLE TERMINAL STATIONS 10 EA 443.95 $4,439.50 MODEL # 234- T- 9864 0002 PRINTER STAND WITH 3” X 19’ PAPER SLOT, AND 2 EA 169.83 $339.66 REAR PAPER CATCHER BASKET. MODEL 3 148F RECEIVED IN FINANCE CVS 10 JUL ** $4, 779.16 A.N. PURCELL A.N. PURCELL 7 JUL ** FRED BELL X RAY DEARBORN 1 JUL ** PE #1 DECEMBER 2012 15 COPY 8