DOCUMENT
IDENTIFER
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
ROUTING
IDENTIFIER
M
&
S
ITEM IDENTIFICATION*
(NSN, FSCM/Part No., Other)
FSCM PART NUMBER
UNIT
OF
ISSUE
QUANTITY
DOCUMENT NUMBER
S
E
R
V
REQUISITIONER
DOCUMENT NO. (Cont.)
DATE SERIAL
36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69
SUPPLEMENTARY
ADDRESS
FUND
CODE
D
E
M
A
N
D
S
E
R
V
S
I
G
N
A
L
DISTRI-
BUTION
CODE
PROJECT
CODE
PRIORITY
REQUIRED
DELIVERY
DAY OF
YEAR
ADVICE
CODE
BLANK
70 71 72 73 74 75 76 77 78 79 80 65 66
REJECT CODE
(FOR USE
BY SUPPLY
SOURCE ONLY)
IDENTIFICATION DATA
*1. MANUFACTURER'S CODE AND PART NO. (When they exceed card columns 8 thru 22)
2. MANUFACTURER'S NAME
3. MANUFACTURER'S CATALOG IDENTIFICATION 4. DATE (YYMMDD) 5. TECHNICAL ORDER NUMBER
6. TECHNICAL MANUAL NUMBER 7. NAME OF ITEM REQUESTED
8. DESCRIPTION OF ITEM REQUESTED 8a. COLOR
8b. SIZE
9. END ITEM APPLICATION 9a. SOURCE OF SUPPLY
9b. MAKE 9c. MODEL NUMBER 9d. SERIES 9e. SERIAL NUMBER
10. REQUISITIONER (Clear text name and address) 11. REMARKS
DOD SINGLE LINE ITEM REQUISITION SYSTEM
DOCUMENT (MANUAL - LONG FORM)
DD Form 1348-6, FEB 85
Edition of Apr 77 may be
used until exhausted.
F
O
L
D
L
I
N
E
F
O
L
D
L
I
N
E
