ORDER FOR SUPPLIES OR SERVICES
SCHEDULE - CONTINUATION

PAGE NO.

IMPORTANT: Mark all packages and papers with contract and/or order numbers.

DATE OF ORDER

CONTRACT NO.

ORDER NO.

ITEM NO.
(a)

SUPPLIES OR SERVICES
(b)

QUANTITY
ORDERED
(c)

UNIT
(d)

UNIT
PRICE
(e)

AMOUNT
(f)

QUANTITY
ACCEPTED
(g)

TOTAL CARRIED FORWARD TO 1ST PAGE (ITEM 17h))

AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION NOT USABLE

OPTIONAL FORM 348 REV. (4/2006)
Prescribed by GSA - FAR (48 CFR) 53.213(f)