Official Company Letterhead REQUIRED

(October 13, 2023) 

(Contracting Officer Name, as shown on the Purchase Order) 

USDA AMS, Commodity Procurement Program 

1400 Independence Avenue, S.W. Room 3522 

Washington, DC 20250-0239 

Not-Later-Than (NLT) Date Waiver Request

We are requesting an extension to deliver later than the contracted NLT date for the following 

reason(s): 

____________________________________________________________________________. 

Purchase 

Order #

Purchase 

Order 

Item #

Sales 

Order #

Sales Order 

Item #

Original 

NLT Date

New NLT 

Date

4100000XXX 7 5000XXXXX 100 00/00/2023 00/00/2023

8 5000XXXXX 100 00/00/2023 00/00/2023

9 5000XXXXX 200 00/00/2023 00/00/2023

Sincerely,

Vendor Signature Required

Charlie Williams

Executive Director

John Doe Meats, Inc.
Official Company Letterhead REQUIRED

(October 13, 2023) 

(Contracting Officer Name, as shown on the Purchase Order) 

USDA AMS, Commodity Procurement Program 

1400 Independence Avenue, S.W. Room 3522 

Washington, DC 20250-0239 

Short Shipment Waiver Request

We are requesting a short shipment waiver for the product shown below for the following 

reason(s):

____________________________________________________________________________. 

Material

Description

Purchase 

Order #

Purchase 

Order 

Item #

Sales 

Order #

Sales 

Order 

Item #

Actual 

Pounds 

Contracted

Actual 

Pound 

Shipped

Salmon 

Fillet

4100000XXX 2 5000XXXXX 100 40, 020 lbs. 38,000 

lbs. 

Sincerely,

Vendor Signature Required

Charlie Williams

Executive Director

John Doe Meats, Inc.
Official Company Letterhead REQUIRED

(October 13, 2023) 

(Contracting Officer Name, as shown on the Purchase Order) 

USDA AMS, Commodity Procurement Program 

1400 Independence Avenue, S.W. Room 3522 

Washington, DC 20250-0239 

Processing & Supplier Plant / Shipping Point Waiver Request

We are requesting a (processing plant / supplier plant/ shipping point change) for the following 

reason(s): ___________________________________________________________________. 

Purchase Order # Purchase Order Item 

Number # 

Revised Plant / Point

4100000XXX 1 John Doe Meats

787 Parks Road 

Brighton, NE 27779 

Use the table that best suits your request.

Entire Purchase Order Purchase Order # Revised Plant / Point

4100000XXX John Doe Meats

787 Parks Road 

Brighton, NE 27779 

Sincerely,

Vendor Signature Required

Charlie Williams

Executive Director

John Doe Meats, Inc.
Official Company Letterhead REQUIRED

(October 13, 2023) 

(Contracting Officer Name, as shown on the Purchase Order) 

USDA AMS, Commodity Procurement Program 

1400 Independence Avenue, S.W. Room 3522 

Washington, DC 20250-0239 

Waiver Request of Commodity Specification Requirement

We are requesting a waiver for the product listed below which does not meet the specification 

requirements of the contract for the following reason(s): 

____________________________________________________________________________. 

Material

Description

Purchase 

Order #

Purchase 

Order 

Item #

Sales 

Order #

Sales 

Order 

Item #

Original 

Cases / 

Lbs.

Non-Compliant 

Cases/ Lbs.

Apples 410000XXX 44 500XXXXX 100 40, 020 lbs. 38,000 lbs. 

Use the table that best suits your request.

Entire Purchase Order Purchase Order #

4100000XXX

Sincerely,

Vendor Signature Required

Charlie Williams

Executive Director

John Doe Meats, Inc.