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Get DA 3953 1991-2024

PURCHASE ORDER NUMBER DELIVERY REQUIREMENTS 25. THE FOREGOING ITEMS ARE REQUIRED NOT LATER THAN AS INDICATED ABOVE FOR THE FOLLOWING PURPOSE ARE MORE THAN 7 DAYS REQUIRED TO INSPECT AND ACCEPT THE REQUESTED GOODS OR SERVICES NO YES IF YES NUMBER OF DAYS REQUIRED OFFICER OF APPROVING OFFICER OR DESIGNEE DA FORM 3953 MAR 1991 EDITION OF AUG 76 IS OBSOLETE APD LC v2. Attachments Menu 1. PURCHASE INSTRUMENT NO. REQUISITION NO. DATE PAGE PURCHASE REQUEST AND COMMITMENT For use of this form see DFAS-IN 37-1 the proponent agency is ASA FM C. TO OF THRU FROM It is requested that the supplies and services enumerated below or on attached list be PURCHASED FOR DELIVERED TO 9. NOT LATER THAN Date The supplies and services listed below cannot be secured through normal supply channels or other Army supply sources in the immediate vicinity and their procurement will not violate existing regulations pertaining to local purchases for stock therefore local procurement is necessary for the following reason Check appropriate box and complete item* 12. LOCAL PURCHASES AUTHORIZED AS THE NORMAL MEANS OF SUPPLY FOR THE FOREGOING BY 10. NAME OF PERSON TO CALL FOR ADDITIONAL INFORMATION 13. REQUISITIONING DISCLOSES NONAVAILABILITY OF ITEMS AND LOCAL PURCHASE IS AUTHORIZED BY EMERGENCY SITUATION PRECLUDES USE OF REQUISITION CHANNELS FOR SECURING ITEM FUND CERTIFICATION the following allotments the available balances of which are sufficient to cover the cost thereof and funds have been committed* ITEM DESCRIPTION OF SUPPLY OR SERVICES QUANTITY UNIT 11. TELEPHONE NUMBER ACCOUNTING CLASSIFICATION AND AMOUNT ESTIMATED UNIT PRICE TOTAL COST a b 20. TYPED NAME AND TITLE OF CERTIFYING OFFICER SIGNATURE DISCOUNT TERMS 24. 05ES 37. OBLIGATION RECORD REFERENCE NUMBER 38. AMOUNT OF COMMITMENT OBLIGATED INCURRED BALANCE REMARKS PROCUREMENT DATA Item Qty BUSINESS Unit BIDDER NO. Attachments Menu 1. PURCHASE INSTRUMENT NO. REQUISITION NO. DATE PAGE PURCHASE REQUEST AND COMMITMENT For use of this form see DFAS-IN 37-1 the proponent agency is ASA FM C. TO OF THRU FROM It is requested that the supplies and services enumerated below or on attached list be PURCHASED FOR DELIVERED TO 9. TO OF THRU FROM It is requested that the supplies and services enumerated below or on attached list be PURCHASED FOR DELIVERED TO 9. NOT LATER THAN Date The supplies and services listed below cannot be secured through normal supply channels or other Army supply sources in the immediate vicinity and their procurement will not violate existing regulations pertaining to local purchases for stock therefore local procurement is necessary for the following reason Check appropriate box and complete item* 12. NOT LATER THAN Date The supplies and services listed below cannot be secured through normal supply channels or other Army supply sources in the immediate vicinity and their procurement will not violate existing regulations pertaining to local purchases for stock therefore local procurement is necessary for the following reason Check appropriate box and complete item* 12. LOCAL PURCHASES AUTHORIZED AS THE NORMAL MEANS OF SUPPLY FOR THE FOREGOING BY 10. NAME OF PERSON TO CALL FOR ADDITIONAL INFORMATION 13. .

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