Fillable Form4044 SPA Work Order Form 4044

Fill Online, Printable, Fillable, Blank Form4044 SPA Work Order Form 4044 Form

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Form4044 SPA Work Order Form 4044

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The Form4044 SPA Work Order Form 4044 form is 2 pages long and contains:

  • 1 signature
  • 34 check-boxes
  • 87 other fields

Country of origin: US
File type: PDF

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You are hereby authorized to manufacture and ship the following described
Simplified Purchase Agreement
product in accordance with the purchase order and specifications indicated.
Work Order Form 4044
* Required Fields
QUOTES DUE BY
DEPARTMENT OR GOVERNMENT ESTABLISHMENT
REQ. NO. *
JACKET NO. * SPA NO. * WORK ORDER NO. *
CLASSIFICATION *
Yes
Yes Yes
Classified SBU PII
No
No No
PUBLICATION TITLE
DATE PREPARED OBJECT CLASS
CONTRACTOR
BILLING ADDRESS CODE (BAC) * AGENCY LOCATION CODE (ALC) APPROPRIATION CHARGEABLE/OBLIGATION NO.
BILLING INFO
Component TAS/BETC
PURCHASE
CARD
TAS*:
Sub-level
Prefix Code
PROOFS
Content
PURCHASE CARD NO. (Info to appear on GPO copy only)
TEXT PAPER
BINDING
STITCH
Allocation
Transfer
Agency
Identifier
Inkjet
(QTY)
(QTY)
Agency
Identifier
FURNISHED ELECTRONIC MEDIA
Files to be sent via FTP or Email
COVER PAPER
Beginning
Period of
Availability
High Resolution
(QTY)
CD/DVD
(QTY)
Ending
Period of
Availability
EXP. DATE
Availability
Type Code
PURCHASE ORDER NO. * STATE CODE * SHIP/DELIVERY DATE
CONTRACTOR’S CODE *
NAME AS IT APPEARS ON PURCHASE CARD
PHONE NO. OF CARDHOLDER
Main
Account
Code
Prior to Production Samples
(QTY)
Sub-Account
Code
LINE OF ACCOUNTING/DOCUMENT REFERENCE NUMBER
(Info Will Appear on IPAC as Entered)
BETC*
DAYS DEPT. WILL QUALITY
HOLD PROOFS LEVEL
Electronic
Soft Proof
OTHER GOVT. FURNISHED MATERIALS PRESS SHEET INSPECTION
No. of Hours Notice
DELIVERY ADDITIONAL INFORMATION
SPECIFICATIONS
COLOR OF COVER INKS
COVER COATING TYPE
PAPER COVERS
INDICATE WHICH COVERS PRINT
(Self)
(Separate)
1 2 3 4
COLOR OF TEXT INKS
TEXT COATING TYPE
NUMBER OF
PRINT
TEXT PAGES
One Side Head to Head to
Only Head Foot
SEW
ULC
SIDE SADDLE
PERFECT BOUND
COMB
COIL
Digital Print Acceptable? Yes No
QUANTITY (unit of finished product)
TRIM SIZE
x
TAPE TRIM 4 SIDES
OTHER
Supplemental Information Attached
RETURN FURNISHED MATERIALS TO:
DELIVER PRODUCT TO:
Distribution List Attached
Digital Deliverables Requested - Format:
Native PDF
SUPT. DOCS. NOTIFIED
YES
NO
CONTRACTOR TOTAL QUOTE
SUPT. DOCS. DELIVERY ADDRESS
SUPT. DOCS. QUANTITY ORDERED
SUPT. DOCS. COST
FOR ADDITIONAL INFORMATION CONTACT:
AUTHORIZING SIGNATURE (must be on file with GPO)
ORDER RECEIVED BY: (Agency Representative)
ADDITIONAL RATE
EMAIL
TITLE
PHONE NO. FAX NO.
DATE SENT TO CONTRACTOR
DATE ORDER RECEIVED
CONTRACTOR
INVOICE
All contractor invoices are to be FAXED to GPO at 202.512.1851. For instructions on how to prepare your bill and get paid go to
https://www.gpo.gov/how-to-work-with-us/vendors/how-to-get-paid
I certify that the materials/services ordered have been delivered on the date indicated above and that payment or credit has not been received.
The penalty for making false statements to the Government is prescribed in 18 USC 1001.
DATE
CONTRACTOR SIGNATURE
THIS FORM MUST BE FURNISHED TO GPO UPON SUBMISSION TO CONTRACTOR.
FEBRUARY 2014
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signature
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Simplified Purchase Agreement
Supplemental Instructions PAGE 2
Work Order Form 4044
DEPARTMENT OR GOVERNMENT ESTABLISHMENT
REQ. NO.
JACKET NO.
SPA NO. WORK ORDER NO.
PUBLICATION TITLE BILLING ADDRESS CODE (BAC)
CONTRACTOR PURCHASE ORDER NO. STATE CODE
CONTRACTOR’S CODE
ADDITIONAL INFORMATION
FEBRUARY 2014
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Form4044 SPA Work Order Form 4044

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Completed 10 July 2020

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