SHIPPING CONTAINER TALLY
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SHEET
NO.
REQUISITION AND INVOICE/SHIPPING DOCUMENT
1. FROM
NO. Fi3.
SHEFTs
REQUISITION DATE
12/3/77
7. DATE MATERIEL REQUIRED
6. REQUISITION NO.
HD1012 7338 8000 xxx
&. PRIORITY
Supply & Accountability Officer, HD10Ol2, Enewetak, M.I.
@. AUTHORITY OR PURPOSE
2,7To
FCONA msg DTG 0416312 NOV 77
USAF Clinic, Hickam/SGL
Hickam AFB, Hawaii, 96853
SunPLEKOUAiken
12\DATE SHIPPED
3. SHIP TO - MARK FOR
USAF Clinic, Enewetak
APO San Francisco, CA 96333
4? |
t3. MODE OF SHIPMENT
i1a. VOUCHER NUMBER AND OATE
b. VOUCHER NUMBER AND DATE .
14, BILL OF LADING NUMBER
15. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NUMBER
4, ACCOUNTING AND FUNDING DATA
Administrative Transfer in lieu of Excess
FEDERAL
A STOCK NUMBER, . DESCRIPTIO N,
ac
Ez
1|
2|
S|
6|
Ff
9|
bana,
10|
11
12!
13]
rE
15}
MICROSCOPE, DNA Prop No, 0032
TABLE, Operating, DNA Prop No, 0033
1
ea|
ea)
STAND, Mayo, SS, DNA Prop No. 0322M
ea;
250.00}
250,00
00,00
95.200
00,00
95.00
ea)
eal
ea;
ea}
1
l
1
1
362.00;
200.00!
300,00'
67.00
362,00
200,00
300.00
67.00
ea;
STAND, Treatment, 2 shelf, S35, DNA Prop No. 0323M
ea;
LAMP, Floor Goosemeck, DNA Prop No. 032M
CART, Dressing, Hospital, DNA Prop No. 0325,0326,0329 lea}
ea|
LAMP, Infra-Ray, Adjustable, DNA Prop No, 0327M
1
1
3
1
75-00
50.00
75.00|
85.00
75200
50.00
225,00
85.00
125,00;
125.00
STERLIZER, Surgical, DNA Prop No. 003)
STERLIZER, Instrument, DNA Prop No, 0329
CABINET, Medicine, 2 door, 55, DNA Prop No. 0330
STAND, I.V., DNA Prop No, 0321M
ISSUED BY
$2
CHECKED By
i
PACKED @Y
DD i are'ss 1149
onetas! tao
DESCRIPTION
52
53
54
55
56
57 58
59 60
61
62
63
64
65
66
TOTAL
|.
67
68
69
70
71
72
73
74
17. HANDLING
19. CONTAINERS DATE
rE
[SSerte® D7DeeAtay
75
76
77
78
79
REPLACES EDITION OF | MAY 58 WHICH MAY BE USED
BO
Bt
BY
SHEET TOTAL
Mngs4.03 00
.
vy
CoS DATE
GRAND TOTAL
NOTED p17] penal $6236.00
y
>
TOTAL
+
Si
VOTAL
72,00
72.00
il
1
eal
SAUMANOMETER, Apparatus, DNA Prop No, 0330M
47.200
47.00
ol
eal
HYDROCOLLATOR, DNA Prop No. 0328M
18,
wo
§ 650.00| $ 650,00
il
ea;
RESUSCITATOR, Portable, DNA Prop No, 0031
F
1
eal
16. SRMSTSCHARGEABLETO
8
=
ASPIRATOR, Suction/Pressure, DNA Prop No. 0030
ToT Atcost
UNIT PRICE
Z TAINER
ro
a5
AINE
AcTION
acy
59%
545 nequesreo
Counene:
se CODING OF MATERIEL AND/OR SERVICES
VOUGHER NO
POSTED
82
83
B4
BS
BS
B7
B88
89
90
FI
92
93
94
95
GH
9?
98
99
7
100