DABV01-04-Q-0057 FPSSchedule

# uniforms DABV01-04-Q-0057 page 3 of 3 PAGE 2 19. ITEM NO. 20. SCHEDULE OF SUPPLIES/SERVICES 21. QUANTITY 22. UNIT 23. UNIT COST 24. AMOUNT 0001 HAT 15000 EA Caps-Navy Blue Baseball Caps with Brim, "FPS" White Lettering 0002 SHOES 15000 EA Black Leather (sizes 38 - 15; 39 - 60; 40 - 450; 41 - 1050; 42 - 3750; 43 - 5250; 44 - 2550; 45 - 1650; 46 - 150; 47 - 60; 48 - 15) 0003 BRASSARD 15000 EA Grey with "FPS" in white lettering 0004 SOCKS 30000 EA Navy Blue 0005 TROUSERS 30000 EA Dark blue (sizes M -6000 ; L - 15000; XL - 6000; XXL - 3000) 0006 SHIRT, Long Sleeve, 2 pockets on front 30000 EA Grey (sizes M -6000; L - 15000; XL - 6000; XXL - 3000) 0007 BELT 15000 EA Black with silver/chrome buckle (sizes M -3000; L -7500; XL - 3000; XXL - 1500) Page 2 32a. QUANTITY IN COLUMN 21 HAS BEEN RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, 32b. SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT 32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE 33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED CORRECT FOR 36. PAYMENT 37. CHECK NUMBER COMPLETE PARTIAL FINAL PARTIAL FINAL 38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY 41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print) 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE 42b. RECEIVED AT (Location) 42c. DATE REC'D (YY/MM/DD) STANDARD FORM 1449 (REV. 4/2002) BACK