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SHIPPING CONTAINER TALLY
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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