Fillable Form BIA-4311: Revised 8/13 (Bureau of Indian Affairs)

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Form BIA-4311: Revised 8/13 (Bureau of Indian Affairs)

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The Form BIA-4311: Revised 8/13 (Bureau of Indian Affairs) form is 2 pages long and contains:

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  • 0 check-boxes
  • 110 other fields

Country of origin: US
File type: PDF

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Form BIA-4311
Revised 8/13
United States Department of the Interior
Indian Affairs
Receiving Report
1
To (Servicing Property and Finance Office):
Vendor:
Purchase Order Number/Contract Number/Interagency Agreement Number/
Charge Card Number:
Vendor Address:
Item Number
Description, Make, Model, and Serial Number or Services
Quantity
Cost
1
2
3
4
5
6
Process Payment against Purchase Order No.:
Line No.:
Line No.:
Line No.:
Partial: [ ]
Final: [ ]
Or, will be paid against government credit card:
Shipment:
Partial (list item numbers):
Final (list item numbers):
Date Received:
Name:
Title:
Signature:
Address:
Date Accepted:
Name:
Title:
Signature:
Address:
Item No.:
Reason:
Returned to Vendor
Date:
Method:
Item No.:
Reason:
Returned to Vendor
Date:
Method:
click to sign
signature
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click to sign
signature
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click to sign
signature
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2
Additional room for item numbers and report of rejections
Item Number
Description, Make, Model, and Serial Number or Services
Quantity
Cost
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Item No.:
Reason:
Returned to Vendor
Date:
Method:
Item No.:
Reason:
Returned to Vendor
Date:
Method:
Item No.:
Reason:
Returned to Vendor
Date:
Method:
Item No.:
Reason:
Returned to Vendor
Date:
Method:
Item No.:
Reason:
Returned to Vendor
Date:
Method:
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Form BIA-4311: Revised 813 (Bureau of Indian Affairs)

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Completed 19 July 2020

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