UNITED STATES DEPARTMENT OF AGRICULTURE
                                                        PROCUREMENT REQUEST                                                                        
                                                             AD700 - (APOS 10/94)                                                  	
To:  Silver City Fire Cache	Receiving Office No.: 	Date of Request:  	
158 Airport Road		                                    	
Hurley, NM   88043            		Requesting Office	
Phone:    575-538-5611			
Fax:        575-388-5672			
dclark03@fs.fed.us		Ship to: 	

To:  			
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LINE ITEM	ACT
CODE	DESCRIPTION	BUDG
OBJ	ACC LN	QUAN  TITY	----UNIT----
ISSUE
	
        PRICE	
             AMOUNT	

									

									

									

									

F.O.B. Point: 	Req'd Delivery Date
 	Est. Freight  NA
	
Total      	$ 	
 Ship Via:  
           	Discount Terms
Net 30 Days	
Accounting Classification

Acc Line           Number	
Dist
  %	

Amount	Accounting Classification

Acc Line               Number	
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Name & Title of Authorized Representative
	             	
PROCUREMENT REQUEST