— 1234567 89 SHIPPING CONTAINER TALLY Fr 10 1112 13 ta 15 16 17 BOLO 2021 22 23:24 25 26 27 28 29:30 3) 32 33 34 35 36-37 38 39 40 41 42 43 44 45 46 47 48 49 50 SHEET NO. REQUISITION AND INVOICE/SHIPPING DOCUMENT 1. FROM NO. O F SHEETS 7/5. REQUISITION DATE 12/3/77 7. DATE MATERIEL REQUIRED 6. REQUISITION NO. HD1LO12 7338 8000 xxx 6. PRIORITY Supply & Accountability Officer, HD10l2, Enewetak, M.I. 2. TO 9, AUTHORITY OR PURPOSE USAF Clinic, Hickam/SGL FCONA msg DTG 0416312 NOV 77 Hickam AFB, Hawaii, 96853 11Q. VOUCHER NUMBER AND DATE 12. DATE SHIPPED 3. SHIP TO - MARK FOR USAF Clinic, Enewetak APO San Francisco, CA 96333 tf b. VOUCHER NUMBER AND DATE . 13. MODE OF SHIPMENT 14, BILL OF LADING NUMBER 18. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NUMBER 4, ACCOUNTING AND FUNDING DATA Administrative Transfer in lieu of Excess. Bg a oe ae | a QUANTITY FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES zb2 nequesTen c* b lL 1 SUPPLY ACTION e 8% TAINER | 8 UNIT PRICE TOTAL COST i $650,00|$650.00 250,00 250.00; 1] 2| ASPIRATOR, Suction/Pressure, DNA Prop No. 0030 RESUSCITATOR, Portable, DNA Prop No, 0031 ea} ea; E S| 6| TABLE, Operating, DNA Prop No. 0033 STERLIZER, Surgical, DNA Prop No. 003} STERLIZER, Instrument, DNA Prop No, 0329 ea| 1 eal 1 ea} 95.00 362,00) 200.00} 95.00 362,00 200,00 67.00 47.00 67.00 47.00 9| ea: MICROSCOPE, DNA Prop No, 0032 eal CABINET, Medicine, 2 door, SS, DNA Prop No. 0330 eal ea; 1 1 LAMP, Floor Goosemeck, DNA Prop No, 032M CART, Dressing, Hospital, DNA Prop No, 0325,0326,0329 LAMP, Infra-Ray, Adjustable, DNA Prop No, 0327M HYDROCOLLATOR, DNA Prop No. 0328M ea} jea| ea| eal 1 3 1 1 L1| [2} 13| ‘d SAUMANOMETER, Apparatus, DNA Prop No. 0330M 16. ONEORANScaseaS 18. ISSUED By os $q PE pontanina! TAINGR. DESCRIPTION weienr CHECKED By Sx PACKED By F3 DD \ Manso } 149 + 51 52 53 54 55 TOTAL > eal ea 300,00; 1 STAND, I.V., DNA Prop No. 0321M STAND, Mayo, SS, DNA Prop No, 0322M 10| STAND, Treatment, 2 shelf, S3, DNA Prop No. 0323M 00,00 1 75,00} 1 50.00 75200} 85.00 72.00 1 125.00 17. HANDLING cuss '* [Receweo|e ey 00,00 300,00 75400 50.00 225,00 85.00 72.00 125,00 SHEET TOTAL | 44,103.00 excertss 17DUL Y N QUANTITIES OATE _| GRAND TOTAL B excerras 7 Dec77...AFL) $625 6600 ee be 56 57 58 59 60 6! 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 BI REPLACES EDITION OF 1 MAY 58 WHICH MAY BE USED B82 83 B4 B85 86 87 BB oleeee A9 90 91 92 939 94 95 96 97 98 | 99 100