Requisition For Supplies Equipment Forms Publications And Procurement
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Requisition For Supplies Equipment Forms Publications And Procurement Form. This is a Official Federal Forms form and can be use in US Department Of Housing And Urban Development.
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Tags: Requisition For Supplies Equipment Forms Publications And Procurement, HUD-10.4, Official Federal Forms US Department Of Housing And Urban Development,
Requisition for Supplies,
Equipment, Forms, Publications and
Procurement Services
2. Posted By:
Supply Source:
Open Market
GSA
FSS Commodity
8. Mail Invoice to:
3. Control No:
4. Processed By:
Shaded Areas for Services Use Only
Fed. Supply Schedule
Fed Strip
Other Govt. Agency
Group No:
Local Agency Acct.
U.S. Department of Housing
and Urban Development
5. Estimated Delivery Date:
6. GSA Contract No:
7. HUD Purchase Order No:
9. Vendor:
10. Appropriation Code:
11. Sub-Object:
12. Organization Code:
14. Authorizing Funds Control Official: (signature & date)
13. Amount Reserved:
15. Description
16. Quantity
17. Unit of
Issue
18. Est. Price
Per Unit
Total
21.Clearance Office Code
19. Est. Total
Cost
20. Action
Code
>>>
Deliver To:
Initial and Date:
.
Authorized Requesting Official: (signature, title, phone, org. corresp. code) & date
; Phone:
; Org:
; Corresp. Code:
; Date:
Title:
24. Received by: (signature & date)
X
form HUD -10.4 (3/85)
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