Fill and Sign the Subcontractor Statement Form

PRINT ORDER FOR MARGINALLY PUNCHED CONTINUOUS FORMS GPO FORM 1026A (Rev. 3/99) P. 57371-0 You are hereby authorized to manufacture and ship the following described product in accordance with the purchase and specifications indicated. PROGRAM PRINT ORDER NO. JACKET NO. REQUISITION NO. DEPARTMENT ESTIMATED COST OBJECT CLASS BAC TITLE FORM NO. CONTRACTOR PURCHASE ORDER FURNISHED MATERIAL Negatives Revised Copy Reprint Copy Blank CONTRACTOR’S CODE Sample SIZE (Overall): Width CUSTOM FORM 1/2” tint bar 3 Lines/inch Equipment and Usage: STATE CODE QUANTITY (SETS plus/minus per contract) Camera Copy STOCK FORM DATE Inches; Depth inches Printer Must meet Laser Forms Requirements Burster/Decollater PAPER TO BE FURNISHED BY CONTRACTOR BASIS 500 SHEETS 17 x 22” PART NO. SUB. NO. (LATITUDE) KIND COLOR INK COLOR TYPE OF CHANGE FACE (Pantone Number) BACK FACE OVERPRINT BACK PRINTS HEAD TO (1) (2) (3) (4) (5) (6) Copy Designations: Red Ink Black Ink MARGINS (Inches) Follow sample/copy Head Foot Left Right will be withheld not more than workdays, from receipt by Government to receipt in contractor’s plant. Contractor must not print prior to receipt of an “OK to print.” INTERLEAVING CARBONS Narrow unpunched, carbon short “ on left Join sets in the “ on right Crimp PACKING B C One break per container (splices not acceptable) Line glue Skip glue Unbroken strips (splices acceptable) Unbroken strips (splices not acceptable) PERFORATION Bar Coding MARGINAL “ from TEARLINE Horizontal tearline every “ from left side Pallets - type right side “ ADDITIONAL A B SCHEDULE Copy will be furnished by Clean edge perforations All sets must be received at destination(s) on or before FILE PUNCHING Diam. sets per shipping container. Pack CONTAINERS - LEVEL margins by Flexible Stub Number Send proofs and copy to - Sets Back None Required PROOF REQUIRED Face Inadequate lockup JOINING Extended Warranty Warning Signal PARTIAL DELIVERY SCHEDULE: Inches C. to C. sets by Location - To Center of Hole sets by sets by Center holes in dimension(s) balance by ADDITIONAL INSTRUCTIONS SHIP TO See attached distribution list FOR INFORMATION CONCERNING THESE SPECIFICATIONS CALL Date contractor notified of award By Departmental Authority (Signature and Title)