1. 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
D10 A2ABM2ABM QDPW EA250 C5NZDG S $1,000.00
RECEIVED IN FINANCE
CVS
10 JUL **
DTD 28JUN**
PE # DECEMBER 2012 5

2. 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
D09 A2ABN2ABN QLOG CA200 W4RNAA S $800.00
RECEIVED IN FINANCE
CVS
10 JUL **
DTD 28JUN**
PE # DECEMBER 2012 7

3. 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 ACPT PT: FT STEWART
2. SHIPMENT # DATE SHIPPED B/L DISCOUNT TERMS
456-** JUN ** NET 30
9. PRIME CONTRACTOR CODE ADMINSTER BY CODE
XEROX CORPORATION CONTRACTING & PROCUREMENT
1102 CENTRAL AVE FORT STEWART, GA 31314
DALLAS, TX 76201
11. SHIPPED FROM CODE FOB PAYMENT WILL BE MADE BY:
(IF OTHER THAN 9) FINANCE OFFICE
ATTN: COMMERICAL VENDOR SERVICES
FT STEWART, GA 31314
13. SHIPPED TO CODE MARKED FOR CODE
SEE DESCRIPTION BELOW
15. ITEM 16. STOCK/PART NO DESCRIPTION QUANTITY*
NO (INDICATE # OF SHIPPING CONTAINERS) SHIP/REC’D UNIT UNIT PRICE AMOUNT
0001 GENERAL MAINTENANCE FOR OFFICE COPIERS MO $ $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 #
GW-3
21. PROCUREMENT QUALITY ASSURANCE 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 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 # DECEMBER 2012

4. 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 ACPT PT: FT STEWART
2. SHIPMENT # DATE SHIPPED B/L DISCOUNT TERMS
652-** 25 JUN ** NET 30
9. PRIME CONTRACTOR CODE ADMINSTER BY CODE
SMITH & CORONA INC CONTRACTING & PROCUREMENT
2121 LUDLOW STREET FORT STEWART, GA 31314
RICHMOND HILL, GA 31324
11. SHIPPED FROM CODE FOB PAYMENT WILL BE MADE BY:
(IF OTHER THAN 9) FINANCE OFFICE
ATTN: COMMERICAL VENDOR SERVICES
FT STEWART, GA 31314
13. SHIPPED TO CODE MARKED FOR CODE
DIRECTOR, LOGISTICS DIVISION
BLDG: 616
15. ITEM 16. STOCK/PART NO DESCRIPTION QUANTITY*
NO (IDICATE # OF SHIPPING CONTAINERS) SHIP/REC’D UNIT UNIT PRICE AMOUNT
SMITH & CORONA WORD PROCESSOR EA $ $1,299.75
MODEL # 289-WP-4592
WORD PROCESSOR PRINTER RIBBONS EA $146.25
SERIAL #
21.PROCUREMENT QUALITY ASSURANCE 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 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 # DECEMBER 2012

5. RAY DEARBORN DAFI01-**-M-4164 21 MAY ** PRC 0588
DIRECTOR, CONTRACTING & PROCUREMENT
1/91ST MECH INF X
FORT STEWART, GA 31314
HOLSTON COMPUTER FURNITURE JUN **
1101 HOLSTON DRIVE
PEMBROKE, GA /10, N/30
SEE ITEM 15
DIRECTOR, INFORMATION MGMT FINANCE OFFICE
BLDG ATTN: COMMERCIAL VENDOR SERVICES
FORT STEWART, GA FORT STEWART, GA 31314 X
D010 A2ABB2ABB DABC0 RC100 GRE S09076
COMPUTER SYSTEMS STATION STORAGE SHELF EA $ $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 # DECEMBER 2012 13
COPY 8

6. 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 ATTN: COMMERCIAL VENDOR SERVICES
FORT STEWART, GA FORT STEWART, GA 31314 X
F09 A2ABB2ABB R2D2 EA300 S7FGBK
’ ADJUSTABLE TERMINAL STATIONS EA $4,439.50
MODEL # 234- T- 9864
PRINTER STAND WITH 3” X 19’ PAPER SLOT, AND EA $339.66
REAR PAPER CATCHER BASKET. MODEL 3 148F
RECEIVED IN FINANCE
CVS
10 JUL **
$4,
A.N. PURCELL
A.N. PURCELL
7 JUL ** FRED BELL X
RAY DEARBORN
1 JUL **
PE # DECEMBER 2012 15
COPY 8