<table style="width:100%;">
<colgroup>
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</colgroup>
<tbody>
<tr class="odd">
<td colspan="5"><h1 id="shipping-container-tally">SHIPPING CONTAINER
TALLY</h1></td>
<td colspan="2"></td>
<td colspan="21"><strong>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 36 37 38 39 40 41 42 43
44 45 46 47 48 49 50</strong></td>
</tr>
<tr class="even">
<td colspan="22"><h2
id="requisition-and-invoiceshipping-document">REQUISITION AND
INVOICE/SHIPPING DOCUMENT</h2></td>
<td colspan="6"><p>OMB No. 0704-0246</p>
<p>OBM approval expires Apr. 30, 2009</p></td>
</tr>
<tr class="odd">
<td colspan="28">The public reporting burden for this collection of
information is estimated to average 1 hour per response, including the
time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing
the collection of information. Send comments regarding this burden
estimate or any other aspect of this collection of information,
including suggestions for reducing the burden, to the Department of
Defense, Executive Services Directorate (0704-0246). Respondents should
be aware that notwithstanding any other provision of law, no person
shall be subject to any penalty for failing to comply with a collection
of information if it does not display a currently valid OMB control
number.</td>
</tr>
<tr class="even">
<td colspan="28"><strong>PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE
ORGANIZATION. RETURN COMPLETED FORM TO THE ADDRESS IN ITEM
2.</strong></td>
</tr>
<tr class="odd">
<td><strong>1.</strong></td>
<td colspan="9"><strong>FROM:</strong> (Include ZIP Code)</td>
<td colspan="3" rowspan="2"><p><strong>SHEET NO.</strong></p>
<p>     </p></td>
<td colspan="4" rowspan="2"><p><strong>NO. OF SHEETS</strong></p>
<p>     </p></td>
<td colspan="5" rowspan="2"><p><strong>5. REQUISITION DATE</strong></p>
<p>     </p></td>
<td colspan="6" rowspan="2"><p><strong>6. REQUISITION
NUMBER</strong></p>
<p>     </p></td>
</tr>
<tr class="even">
<td rowspan="2"></td>
<td colspan="7" rowspan="2">     </td>
<td colspan="2" rowspan="2">     </td>
</tr>
<tr class="odd">
<td colspan="12"><p><strong>7. DATE MATERIAL REQUIRED</strong>
(YYYYMMDD)</p>
<p>     </p></td>
<td colspan="6"><p><strong>8. PRIORTY</strong></p>
<p>     </p></td>
</tr>
<tr class="even">
<td><strong>2.</strong></td>
<td colspan="9"><strong>TO:</strong> (include ZIP Code</td>
<td colspan="18" rowspan="2"><p><strong>9. AUTHORITY OR
PURPOSE</strong></p>
<p>     </p></td>
</tr>
<tr class="odd">
<td rowspan="2"></td>
<td colspan="7" rowspan="2">     </td>
<td colspan="2" rowspan="2">     </td>
</tr>
<tr class="even">
<td colspan="12"><strong>10. SIGNATURE</strong></td>
<td colspan="6"><p><strong>11a. VOUCHER NUMBER &amp; DATE</strong>
(YYYYMMDD)</p>
<p>     </p></td>
</tr>
<tr class="odd">
<td><strong>3.</strong></td>
<td colspan="9"><strong>SHIP TO – MARK FOR:</strong></td>
<td colspan="12" rowspan="2"><p><strong>12. DATE SHIPPED</strong>
(YYYYMMDD)</p>
<p>     </p></td>
<td colspan="6" rowspan="2"><p><strong>b.</strong></p>
<p>     </p></td>
</tr>
<tr class="even">
<td rowspan="3"></td>
<td colspan="7" rowspan="3">     </td>
<td colspan="2" rowspan="3">     </td>
</tr>
<tr class="odd">
<td colspan="12"><p><strong>13. MODE OF SHIPMENT</strong></p>
<p>     </p></td>
<td colspan="6"><p><strong>14. BILL OF LADING NUMBER</strong></p>
<p>     </p></td>
</tr>
<tr class="even">
<td colspan="18"><p><strong>15. AIR MOVEMENT DESIGNATOR OR PORT
REFERENCE NO.</strong></p>
<p>     </p></td>
</tr>
<tr class="odd">
<td><strong>4.</strong></td>
<td colspan="25"><strong>APPROPRIATIONS DATA</strong></td>
<td colspan="2" rowspan="2"><p><strong>AMOUNT</strong></p>
<p>     </p></td>
</tr>
<tr class="even">
<td></td>
<td colspan="25">     </td>
</tr>
<tr class="odd">
<td colspan="2"><p><strong>ITEM</strong></p>
<p><strong>NO.</strong></p>
<p><strong>(a)</strong></p></td>
<td colspan="9"><h4
id="federal-stock-number-description-and-coding-of-materiel-andor-services">FEDERAL
STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES</h4>
<p><strong>(b)</strong></p></td>
<td colspan="3"><h3 id="unit">UNIT</h3>
<p><strong>OF ISSUE</strong></p>
<p><strong>(c)</strong></p></td>
<td colspan="2"><h3 id="quantity-requested">QUANTITY REQUESTED</h3>
<p><strong>(d)</strong></p></td>
<td colspan="3"><h3 id="supply-action">SUPPLY ACTION</h3>
<p><strong>(e)</strong></p></td>
<td colspan="2"><h3 id="type">TYPE</h3>
<p><strong>CONTAINER</strong></p>
<p><strong>(f)</strong></p></td>
<td colspan="2"><p><strong>CON-TAINER</strong></p>
<p><strong>NOS.</strong></p>
<p><strong>(g)</strong></p></td>
<td colspan="4"><h3 id="unit-price">UNIT PRICE</h3>
<p><strong>(h)</strong></p></td>
<td><h3 id="totalcost">TOTALCOST</h3>
<p><strong>(i)</strong></p></td>
</tr>
<tr class="even">
<td colspan="2">     </td>
<td colspan="9">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td colspan="4">     </td>
<td>     </td>
</tr>
<tr class="odd">
<td colspan="15"><strong>16. TRANSPORTATION VIA AMC OR MSC CHARGEABLE
TO:</strong>      </td>
<td colspan="13"><strong>17. SPECIAL HANDLING:</strong>      </td>
</tr>
<tr class="even">
<td colspan="3" rowspan="6"><ol start="18" type="1">
<li><blockquote>
<p>RECAPITULATION</p>
</blockquote></li>
</ol>
<blockquote>
<p><strong>OF SHIPMENT</strong></p>
</blockquote></td>
<td rowspan="2"><h5 id="issued-by"> ISSUED BY</h5>
<p>     </p></td>
<td colspan="2">TOTAL CONTAINERS</td>
<td colspan="3">TYPE CONTAINERS</td>
<td colspan="3">DESCRIPTION</td>
<td colspan="2">TOTAL WEIGHT</td>
<td colspan="2"><p>TOTAL</p>
<p>CUBE</p></td>
<td colspan="2" rowspan="6"><p><strong>19.</strong></p>
<p><strong>R</strong></p>
<p><strong>E</strong></p>
<blockquote>
<p><strong>C</strong></p>
<p><strong>E</strong></p>
<p><strong>I</strong></p>
<p><strong>P</strong></p>
<p><strong>T</strong></p>
</blockquote></td>
<td colspan="2" rowspan="2"><p>CONTAINERS</p>
<p>RECEIVED</p>
<p>EXCEPT AS</p>
<p>NOTED</p></td>
<td colspan="4" rowspan="2"><p><strong>DATE</strong> (YYYYMMDD)</p>
<p>     </p></td>
<td rowspan="2"><h5 id="by">BY</h5>
<p>     </p></td>
<td colspan="3" rowspan="2"><h5 id="sheet-total">SHEET TOTAL</h5>
<p>     </p></td>
</tr>
<tr class="odd">
<td colspan="2">     </td>
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td rowspan="2"><p>CHECKED BY</p>
<p>     </p></td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td colspan="2" rowspan="2"><p>QUANTITIES</p>
<p>RECEIVED</p>
<p>EXCEPT AS</p>
<p>NOTED</p></td>
<td colspan="4" rowspan="2"><p><strong>DATE</strong> (YYYYMMDD)</p>
<p>     </p></td>
<td rowspan="2"><h5 id="by-1">BY</h5>
<p>     </p></td>
<td colspan="3" rowspan="2"><p>GRAND TOTAL</p>
<p>     </p></td>
</tr>
<tr class="odd">
<td colspan="2">     </td>
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
</tr>
<tr class="even">
<td rowspan="2"><p>PACKED BY</p>
<p>     </p></td>
<td colspan="2">     </td>
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="2">     </td>
<td colspan="2" rowspan="2">POSTED</td>
<td colspan="4" rowspan="2"><p><strong>DATE</strong> (YYYYMMDD)</p>
<p>     </p></td>
<td rowspan="2"><h5 id="by-2">BY</h5>
<p>     </p></td>
<td colspan="3" rowspan="2"><p><strong>19. RECEIVER’S VOUCHER
NO</strong></p>
<p>     </p></td>
</tr>
<tr class="odd">
<td colspan="2">     </td>
<td colspan="3">     </td>
<td colspan="3">TOTAL</td>
<td colspan="2">     </td>
<td colspan="2">     </td>
</tr>
</tbody>
</table>

DD Form 1149, JULY 2006 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66
67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90
91 92 93 94 95 96 97 98 99 100

JPL 1149 4 / 08 W

###### PREVIOUS EDITION IS OBSOLETE