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(Download this form online at www.gsa.gov/forms.)<br />
Detach Here<br />
SIGNATURE (If required)<br />
20. 21.<br />
REQ'D<br />
PRI- DELIVERY<br />
ORITY DATE<br />
60-61 62-64<br />
17. 18F. 19.<br />
DISTRI-<br />
FUND<br />
BUTION PROJECT<br />
51 52-53 54-56 57-59<br />
16F. SIG<br />
14-15F.<br />
SUPPLEMENTARY<br />
ADDRESS<br />
13.DEM<br />
1. 2. 3. DOCUMENT NUMBER<br />
DOC. ROUTING<br />
IDEN. IDEN. 9-10 REQUISITIONER 11. DATE<br />
1-3 4-6 7 30-35 36-39<br />
M & S<br />
45-50<br />
44<br />
TELEPHONE NUMBER<br />
REQUISITION DATA<br />
STOCK NUMBER<br />
7. 8.<br />
12. 14-15V.<br />
16V. 18V. 19V. 22. NOTE: Entries in shaded blocks may be in either the FIXED (F)<br />
4. 5.<br />
6. UNIT<br />
or VARIABLE (V) sections - NEVER in both.<br />
FSC<br />
NIIN<br />
ADD- OF QUANTITY SERIAL SUPPLEMENTARY<br />
DISTRI- PROJECT ADVICE<br />
T'N'L ISSUE<br />
ADDRESS<br />
BUTION<br />
8-11 12-20 21-2223-24 25-29 40-43 45-50 51 54-56 57-59 65-66 23. REMARKS<br />
SIG<br />
MULTIUSE STANDARD REQUISITIONING/ISSUE SYSTEM DOCUMENT NSN 7540-00-965-2379 STANDARD FORM 344 (REV. 2-93)<br />
Prescribed by <strong>GSA</strong>, FPMR (41 CFR) 101-26.2
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