Fillable US Department of the Interior - Requisition Form DI1

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US Department of the Interior - Requisition Form DI1

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UNITED STATES
DEPARTMENT OF THE INTERIOR
REQUISITION
Form DI-1
(Rev. July 1994)
INSTRUCTIONS - Prepare in single space typing. Use double space between items. Fill out top of requisition completely, showing
complete shipping instructions and appropriation if different from that to which requisition is chargeable.
Page of
Requisition No.
Date
To
Appropriation/Allotment No.
Bureau/Office
FTS Phone No.
(include area code)
FTS Fax No.
(include area code)
Charge shipping costs to
Vendor
Deliver to
ITEM OR
FORM NO.
DESCRIPTION QUANTITY UNIT
UNIT
PRICE
AMOUNT
TO BE COMPLETED BY FISCAL AUTHORITY ONLY
FUND CERTIFICATION: Funds in the amounts shown are available and chargeable to the cost authorities shown above.
Signature Title
Date
Requisitioned by
(Signature)
Title
Date
Approved by
(Signature)
Title
Date
Bureau Officer
(Signature)
Title
Date
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US Department of the Interior - Requisition Form DI1

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Completed 25 May 2020

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