Forms Stocked at the Beltsville Service Center

Forms Stocked at the Beltsville Service Center

FORMS STOCKED AT THE BELTSVILLE SERVICE CENTER Sponsor Stk-No UIS Desc Edition AMS/GIPSA AD-1023 PK100 CONTAINER EXAMINATION WORKSHEET 11/1/1986 FLEXIBLE CONTAINER AD-748 PD100 CONTAINER EXAMNTN WORKSHT 5/1/1985 AD-749 PD 100 CUMULATIVE ORIGNL INSP OF CONDITION OF 11/1/1977 CONTAINER APHIS AD-1038 PK100 STATEMENT OF UNDERSTANDING 10/1/1987 AD-1039 PK100 TRAINING PLAN-AGREEMENT 12/1/1987 AD-741 PD100 CONTAINER EXAMNTN WORKSHT (TABLE V & 11/1/1986 TABLE VII) ARS AD-245-4 PKG100 REQUEST FOR PUBLICATION 8/1/1984 AD-941 PKG50 BIOLOGICAL SHIPMENT RECORD-FOREIGN 11/1/1995 OVERSEAS SOURCE AD-942 PKG100 BIOLOGICAL SHIPMENT RECORD QUARANTINE 5/1/1990 FACILITY AD-943 PK100 BIOLIGICAL SHIPMENT 4/1/1998 Friday, April 30, 2004 Page 1 of 41 Sponsor Stk-No UIS Desc Edition AD-944 PKG25 RECORD OF SHIPMENT OF EXOTIC 10/1/1994 MICROORGANISMS FOR AD-944A PKG25 RECORD OF RELEASE OF EXOTIC 10/1/1994 MICROORGANISMS FOR BSC SHIPPING LABELS RO SHIPPING LABELS (INTERNAL USE ONLY) 1/31/2003 CSRS AD-416 BX1000 RESEARCH WORK UNIT/PROJ DESCPTN-RES 4/1/1992 RESUME-INPUT AD-417 PK100 RES WORK UNIT/PROJECT DESCPTN/CLASSN OF 4/1/1992 RES-INPUT AD-427 PD 100 REQUEST FOR INFORMATION RETRIEVAL 4/1/1979 DA OO-RI 71-013 EA A FEE-FOR-SERVICE PLAN WITH PREFERRED 2004 PROVIDER ORGANIZATIONS DA/OO AD-1146 EA CHILDREN SERVICES POSTER 2001 AD-1148 EA CHILDREN SERVICES BROCHURE 2001 FAS AD-1072 EA BUILDING ON THE FRAMEWORK FOR CHANGE 3/1/1991 WOMEN AD-121 PKG100 PASSPORT REQUEST 2/1/1990 AD-750 PD 50 INTERNATIONAL TRAVEL CLEARANCE 5/1/1991 FMD AD-222 PD100 SPACE EVALUATION CHECK SHEET 4/1/1986 Friday, April 30, 2004 Page 2 of 41 Sponsor Stk-No UIS Desc Edition GSA-2957 EA REIMBURSABLE WORK AUTHORIZATION 3/1/1988 SF-118 PK100 REPORT OF EXCESS REAL PROPERTY 5/1/1996 SF-81 PK100 REQUEST FOR SPACE 2/1/1989 FNS AD-475B EA ***FNS ONLY*** AND JUSTICE FOR ALL Dec-99 AD-475C EA **FNS USE ONLY** AND JUSTICE FOR ALL 12/1/1999 AD-1060(SP) EA AND JUSTICE FOR ALL SPANISH AD-475A EA AND JUSTICE FOR ALL (ALL) 3/1/1998 FS AD-777 BK INNOVATE DEVELOP ENCOURAGE ACTIVATE 7/1/1985 SUGGEST MRMD 270H BX "MRMD COPIER PAPER, SALMON, 8-1/2 X 11""" 53-E-1828 HD "ENVELOPE, KRAFT, 9-1/2 X 12, BLANK" 53-E-2906-31A HD "NFC ENVELOPE, GREEN, METERED, 9-1/2 X 7/1/1984 53-E-2906-45A HD "NFC ENVELOPE, GREEN, METERED, 10 X 15" 7/1/1984 53-E-6010 HD "ENVELOPE, WHITE, METERED, 4-1/8 X 9-1/2" 1/1/1983 53-E-6015 HD "ENVELOPE, WHITE WINDOW, METERED, 4-1/8 1/1/1983 X 9-1/2" 53-E-6020 HD "ENVELOPE,WHITE, METERED, 6-1/16 X 10-1/2" 1/1/1983 53-E-6025 HD "ENVELOPE, KRAFT, METERED, 9-1/2 X 12" 1/1/1983 53-E-6030 HD "ENVELOPE, KRAFT, METERED, 10 X 15" 1/1/1983 53-E-8700 HD "ENVELOPE, BLUE, ""SPECIAL ATTENTION"" 3-7/8 X 8-7/8""" 53-E-8701 HD "ENVELOPE, BLUE, ""SPECIAL ATTENTION"", 11/1/1987 6982-5 BX "MRMD BULK PAPER SUPPLY, PEACH-TAN, 11 X 17""" 7530-00-181-7174 BX "MRMD COPIER PAPER, WHITE, 8-1/2 X 11""" 7530-00-181-7175 BX "MRMD COPIER PAPER, WHITE, 8-1/2 X 14""" Friday, April 30, 2004 Page 3 of 41 Sponsor Stk-No UIS Desc Edition 7530-01-033-8891 BX "MRMD COPIER PAPER, WHITE, 8-1/2 X 11"", 3-HOLE PCHD" 7530-01-146-3361 BX "MRMD COPIER PAPER, BLUE, 8-1/2 X 11""" 7530-01-147-6811 BX "MRMD COPIER PAPER, YELLOW, 8-1/2 X 11""" 7530-01-147-6812 BX "MRMD COPIER PAPER, GREEN, 8-1/2 X 11""" 7530-01-148-1766 BX "MRMD COPIER PAPER, BUFF, 8-1/2 X 11""" 7530-01-150-0334 BX "MRMD COPIER PAPER, PINK, 8-1/2 X 11""" 7530-01-181-7175 BX "MRMD COPIER PAPER, WHITE, 8-1/2 X 14" 7530-01-335-2623 BX "MRMD COPIER PAPER, RECYCLED, WHITE, 8-1/2 X 11""" AD-1024 PKG 25 "CHANGE OF ADDRESS NOTICE, METERED, 6/1/1986 WASHINGTON, DC" AD-12A PKG100 MAILING LABEL WITHOUT INDICIA 9/1/1982 AD-270 PKG100 REQUEST FOR COPYING & DUPLICATING SVCS 10/1/1987 AD-414A PKG100 "MAILING LABEL, METERED, SELF-ADHESIVE, 1/1/1983 PIN-FED" AD-699 PD100 COPIER COST INVENTORY 1/1/1981 AD-841 EA EXECUTIVE CORRESPONDENCE POUCH 7/1/1981 AD-843 HD EXECUTIVE CORRESPONDENCE ENVELOPE 7/1/1981 OF-65A BX200 "MESSENGER ENVELOPES, 4-1/8 X 9-1/2" 1/1/1994 OF-65B BX250 "MESSENGER ENVELOPES, 9-1/2 X 12" 1/1/1994 OF-65C BX250 "MESSENGER ENVELOPE, 12 X 16" 1/1/1994 NFC AD-1000 PKG50 CLAIM FOR RELOCATION INCOME TAX Oct-00 ALLOWANCE AD-105 PKG100 **OBSOLETE** CHECK OR BOND FORWARDING 8/1/1975 RECORD (3 FORMS TO SHEET) AD-1095 EA "ACCOUNTING/PAY PERIOD CALENDAR, 14 X 1/1/2002 8-1/2"", SEPT. 2002-2004" Friday, April 30, 2004 Page 4 of 41 Sponsor Stk-No UIS Desc Edition AD-1095A EA "ACCOUNTING/ PAY PERIOD CALENDAR, 29 X 1/1/2002 17"", SEPT. 2002-2004" AD-1101 EA USDA CONFIDENTIAL CONFLICT OF INTEREST 8/1/1995 AD-1102 EA SPECIAL PROCESSING TRANSMITTAL 9/1/1997 AD-1103 EA ACCOUNTING/PAY PERIOD CALENDARS FISCAL 2/1/1999 YR 98-2010 AD-1104 EA STATEMENT OF EARNING AND LEAVE 2/1/1997 AD-1122 EA THE WORK NUMBER FOR EVERYONE 10/1/1997 AD-1128 EA REQUEST FOR ELECTRONIC DOWNLOAD 11/1/1998 SOFTWARE FROM NFC AD-1129 PK50 EMPLOYEE PERSONAL PAGE 5/1/1998 AD-1133 EA REQUEST FOR TABLE MANAGEMENT SYSTEM 04/04 (TMGT) ACTION AD-1173 EA CD-ROM REQUEST 3/1/2003 AD-139 PD 50 FINAL SALARY PAYMENT REPORT 1/1/1994 AD-187 EA MOTOR VEHICLE OPERATION & UTILIZATION 10/1/1982 RECORD AD-202 PKG 50 TRAVEL AUTHORIZATION/ ADVANCE 11/1/1996 AD-202M PKG 50 ATTACHMENT FOR MULTIPLE TRAVELERS 11/1/1996 AD-202P BX 300 TRAVEL AUTHORIZATION/ ADVANCE 4/1/1988 AD-202R PKG 50 ATTACHMENT FOR RELOCATION TRAVEL 11/1/1996 AD-202RE PKG 50 ATTACHMENT FOR ELECTION OF SEPARATE 11/1/1996 RELOCATION AD-216 PKG 50 VOUCHER DIFFERENCE STATEMENT 5/1/1977 AD-304 PD100 **OBSOLETE** REQ&AUTH FOR ALLOTMNT 12/1/1990 OF COMP FOR STATE INCOME TAX AD-320 SET 5 "TIME, ATTENDANCE & PROGRESS REPORT (FOR SCS ONLY)" AD-321 PK100 TIME AND ATTENDANCE REPORT 4/1/1990 AD-321-3 PKG100 TIME & ATTENDANCE REPORT 7/1/1990 Friday, April 30, 2004 Page 5 of 41 Sponsor Stk-No UIS Desc Edition AD-337 EA TRANSMITTAL-PERSONNEL & PAYROLL FORM 4/1/1984 AD-343 PKG100 PAYROLL ACTION REQUEST 11/1/1995 AD-354 PK 50 REQUEST FOR INFORMATION 9/1/1993 AD-358 PD 50 VERIFICATION OF IMPREST CASH 2/1/1992 AD-359 PD100 CASHIER ACCOUNT AUDIT 6/1/1990 AD-382 PKG50 EMPLOYEE CLAIM FOR LOSS OR DAMAGE TO 10/1/1965 PERSONAL PROP AD-424 PD 50 EMP APPL REIMBMNT OF 4/1/1988 EXPENSES-SALE/PURCHASE-RSDNCE AD-496-4 PKG250 BILL FOR COLLECTION 5/1/1976 AD-497 PKG50 REQUEST FOR TR ACTION 12/1/1975 AD-55 EA MEMORANDUM OF TRAVEL EXPENSES 10/1/1950 AD-567 PKG100 TELETICKET PAYMENT TRANSMITTAL 8/1/1988 AD-568 PD 25 TRANSMITTAL - CREDIT CARD - GASOLINE 3/1/1981 AD-569 PD 50 EXPENSE RECORD FOR TEMPORARY QUARTERS 3/1/1985 AD-616 PK50 TRAVEL VOUCHER (TEMPORARY DUTY Nov-96 AD-616R PKG50 TRAVEL VOUCHER - RELOCATION 11/1/1996 AD-617 PK50 TRAVEL VOUCHER - CONTINUATION 11/1/1996 AD-617R PKG50 TRAVEL VOUCHER CONTINUATION SHEET - 11/1/1996 RELOCATION AD-63 EA *OBSOLETE* ALLOCATION OF FUNDS 10/1/1948 AD-633 PKG100 MULTIUSE STANDARD REQUISITIONING/ISSUE 3/1/1977 SYSTEM DOC AD-643 PKG100 TRANSMITTAL - GSA MOTOR POOL 2/1/1974 AD-644 EA TRANSPORTATION SVCS DISTRIBUTION - GSA 2/1/1974 MOTOR POOL AD-659 PD 50 CLAIM FOR UNIFORM ALLOWANCE 9/1/1986 AD-661 PKG 50 **OBSOLETE** CASHIER SUB-VOUCHER 7/1/1975 Friday, April 30, 2004 Page 6 of 41 Sponsor Stk-No UIS Desc Edition AD-663 PKG100 REQ FOR ISSUANCE OF 10/1/1984 SUBSTITUTE/REPLACEMENT CHECK AD-667 PKG25 *OBSOLETE ** ADMINISTRATIVE BUDGET 7/1/1975 CONTROL AD-672 PKG 50 REIMBMNT/ADVANCE OF FUNDS AGREEMENT 9/1/1986 AD-673 PD 50 REQUEST TO BILL 4/1/1993 AD-694 PKG100 TRANSMITTAL OF MERIT PAY POOL DATA 4/1/1981 AD-703 EA *OBSOLETE* OPERATING PLAN 9/1/1982 AD-704 PKG50 *OBSOLETE * ALLOTMENT ADVICE 7/1/1976 AD-705 PD 50 *OBSOLETE* DEFECT TALLY SHEET FOR 7/1/1976 FROZEN BROCCOLI AD-706 PD 25 *OBSOLETE * STATMT OF ESTMTD 7/1/1976 REIMBMNTS/RECEIPTS AD-717 PKG50 AUDIT FOR LEAVE YEAR 20-- 5/1/2001 AD-718 PD100 PERIOD END ESTIMATES 10/1/1976 AD-729A PK100 MANAGEMENT CODE MASTER FILE UPDATE 6/1/1978 AD-729B PKG100 *OBSOLETE* ACCOUNTING CODE INPUT FORM 1/1/1980 AD-729C PKG 50 *OBSOLETE* ALLOCATION OF FUNDS 4/1/1983 AD-729D PKG 50 *OBSOLETE* ACCOUNTING CODE INPUT FORM 4/1/1983 AD-739 PKG100 *OBSOLETE* ALLOCATION OF FUNDS 9/1/1979 AD-740 PKG 50 *OBSOLETE* DEFECT TALLY SHEET FOR 12/1/1982 FROZEN BROCCOLI AD-742 PKG100 TRANSFER AND ADJUSTMENT VOUCHER 10/1/1991 AD-757 PKG100 MISCELLANEOUS PAYMENT SYSTEM 2/1/1994 AD-758 PD 100 *OBSOLETE* ACCOUNTING CLASSIFICATION 4/1/1979 CODES AD-766 PKG100 *OBSOLETE* PMIS REAL PROPERTY RECORD 1/1/1980 AD-780 PD 50 DISCOUNT NOTICE 10/1/1982 Friday, April 30, 2004 Page 7 of 41 Sponsor Stk-No UIS Desc Edition AD-798 EA *OBSOLETE* PARTIAL RECEIPT 1/1/1981 AD-799 EA ***OBSOLETE ** DATA FOR INCLUSION IN SF-113 1/1/1981 REPORTS AD-838-5PE BX300 PURCHASE ORDER 7/1/1990 AD-838-7 PKG100 PURCHASE ORDER 7/1/1990 AD-838-7P BX 300 PURCHASE ORDER (PIN-FEED CONTINUOUS) 7/1/1990 AD-838A EA *OBSOLETE* PARTIAL RECEIPT 11/1/1975 AD-838B PD 50 INVOICE-RECEIPT CERTIFICATION 2/1/1991 AD-838D PKG 50 BPA-INVOICE RECEIPT CERTIFICATION 11/1/1991 AD-84 PKG100 SCHEDULE OF COLLECTIONS 12/1/1961 AD-844 PKG 50 **OBSOLETE** BILLINGS AND COLLECTIONS 11/1/1981 ACCOUNT MAINTENANCE PKG50 AD-846 PKG 50 *OBSOLETE* FEE/CHARGE DOCUMENT 1/1/1982 AD-847 PKG 50 *OBSOLETE* FEES AND CHARGES LISTING 1/1/1982 AD-952 EA ORGANIZATIONAL STRUCTURE CODES TABLE 12/1/1993 AD-953 PK100 *OBSOLETE* OFFICE PRODUCTS 6/1/1986 CENTER-OBLIGATION DOCUMENT AD-954 EA ACCOUNT NOTIFICATION-GOVERNMENT 1/1/1996 TRANSPORTATION SYS AD-955 PD 50 GSA TELEPHONE TRANSMITTAL 2/1/1990 AD-956 PD 50 REQUEST FOR ORGINATING OFFICE NUMBER 4/1/1992 ACTION AD-961 EA REMOTE FORMS QUEUING SYSTEM (RFQS) 6/1/1995 ELECTION FORMS AD-962 EA PAYROLL/PERSONNEL DOCUMENT REPORTS 9/1/1994 ELECTION FORM AD-995 PKG25 DELEGATION OF AUTHORITY 6/1/1986 AD-996 PKG50 *OBSOLETE* REQUEST FOR AD-744 ACTION 3/1/1989 AD-997 PK100 UNIT CERTIFYING OFFICER SIGNATURE CARD 1/1/1994 Friday, April 30, 2004 Page 8 of 41 Sponsor Stk-No UIS Desc Edition AD-999 PK100 *OBSOLETE* MTR.VEHICLE ACCOUNTABILITY 4/1/1985 & DATA REC.DOC.TYPE 1 OF-1014A EA GENERAL LEDGER 12/1/1979 OF-1016 EA DISTRIBUTION LEDGER 12/1/1979 OF-1017G EA JOURNAL VOUCHER 9/1/1979 OF-1114 EA BILL OF COLLECTION 12/1/1979 OF-1114B EA COLLECTION VOUCHER 5/1/1979 OF-1120 EA TRANSPORTATION REQUEST ACCOUNTABILITY 3/1/1980 RECORD OF-1121 EA BILL OF LADING ACCOUNTABILITY RECORD 12/1/1979 OF-1129 PKG100 REIMBURSEMENT VOUCHER 10/1/1986 OF-1129A PKG100 CASHIER REIMBURSEMENT VOUCHER-ACCT.

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