Date: 7-11-02
Page 1 of 3
Office Account Code:
Form 1556-1A
(May 1991) UNITED STATES
DOI BLM
PMDS PUBLICATIONS REQUISITION FORM FOR USFW
Requestor's Name:
Phone Number:
Requisition Number:
TO: BLM/PMDS, SC-657B
DFC, BUILDING 41 Ent E16
DENVER, CO 80225-0047
OFC: FTS/COM 303-236-1975/7637
PMDS FAX: FTS/COM (303) 236-0845
Credit Card Information as Follows (all fields are required)
Name (as it appears on card):
Card account number: Expiration date:
Fax number:
COMPLETE SHIPPING ADDRESS (NO P.O. BOX NUMBERS)
Enter office name / Attn:
Room / Suite Number
Street Address
City, State, Zip
Fed-Ex Account Number:
PMDS USE ONLY
ITEM
NUMBER
ITEM DESCRIPTION
Qty Rqstd
UOI
PMDS USE ONLY
ITEM
NUMBER
ITEM DESCRIPTION
Qty Rqstd
UOI
FW1001
American NWR Sys Centennial Brochure
FW1016
Wildlife Inspector
PK/50
FW1002
Career Conserving the Nature of America
PK/50
FW1017
Conserving Americas Fisheries
PK/50
FW1003
Caution Feeding Waterfowl Can Be Harmful
PK/50
FW1018
Lets Get The Lead Out
PK/50
FW1004
Conserve Migratory Birds
N/A
FW2001
NWR System Visitors Guide
PK/25
FW1005
Conserving Nature of America Brochure
PK/50
FW2002
For The Birds Booklet
PK/40
FW1006
Eagle Repository
PK/50
FW2003
Homeowners Guide For Protecting Frogs
PK/50
FW1007
Endangered Red Wolves
PK/50
FW3001
ABC of Fishing Coloring Book
PK/50
FW1008
Facts About Wildlife Laws
PK/50
FW3002
Wetland Coloring Book
50
FW1009
Fishing is Fun
PK/50
FW3003
Fish Wildlife People Mark Trail Coloring Book
50
FW1010
Getting Hip
PK/50
FW4001
Conserving Nature of America Folder
50
FW1011
Revenue Sharing
PK/50
FW 4002
NWRS Centennial Kit Folder
FW1012
Special Agent
N/A
FW5001
Getting Printed Products You Need
PK/50
FW1013
Duck Stamp Story
PK/50
FW 5002
National Conservation Training Center
PK/50
FW1014
Volunteer Brochure
PK/50
FW6001
Carry In/Carry Out Litter Bag Plastic
500
FW1015
Why Save Endangered Species
N/A
FW6002
Carry In/Carry Out Litter Bag Paper
50Date: 7-11-02
Page 2 of 3
Office Account Code:
Form 1556-1A
(May 1991) UNITED STATES
DOI BLM
PMDS PUBLICATIONS REQUISITION FORM FOR USFW
Requestor's Name:
Phone Number:
Requisition Number:
TO: BLM/PMDS, SC-657B
DFC, BUILDING 41 Ent E16
DENVER, CO 80225-0047
OFC: FTS/COM 303-236-1975/7637
PMDS FAX: FTS/COM (303) 236-0845
Credit Card Information as Follows (all fields are required)
Name (as it appears on card):
Card account number: Expiration date:
Fax number:
COMPLETE SHIPPING ADDRESS (NO P.O. BOX NUMBERS)
Enter office name / Attn:
Room / Suite Number
Street Address
City, State, Zip
Fed-Ex Account Number:
PMDS USE ONLY
ITEM
NUMBER
ITEM DESCRIPTION
Qty Rqstd
UOI
PMDS USE ONLY
ITEM
NUMBER
ITEM DESCRIPTION
Qty Rqstd
UOI
FW8001
NWRS Centennial Panorama 2 Disc Volume
ST/1
3-0306
1A Exhibit Envelope
3-0155
Seized Property Receipt – 4 Pt Set NCR
3-0328
Complaint of Violation 3 Pt NCR
3-0155A
Property Receipt Short Form
3-0332
Record of Information That May Become Testimony 5 Pt NCR
3-0177
Declaration for Import or Export of Fish or Wildlife
3-0342
Consent to Search
3-0177A
Declaration for Import or Export of Fish or Wildlife – Continuation Sheet
3-0342A
Consent to Search Short Form 5 Pt NCR
3-0177I
Instructions for Forms 3-177 4 Pages
3-0487
Evidence Seizure Tag
3-0186
Notice of Transfer For Sale of Migratory Waterfowl 5 Pt NCR
3-0522A
Law Enforcement ID Cards
3-0186A
Migratory Bird Acquisition & Disposition Report 4 Pt NCR
3-0960
Field Information Report
3-0199A
Affidavit
3-0963
Acknowledgement of No Stamp & or License
3-0199B
Affidavit Continuation Sheet
3-0966
Receipt for Donated Migratory Birds
3-0201
License/Permit Application Form Federal Fish Wildlife Permit 6 Pt Set
3-1473
Affidavit Short Form
3-0201A
Cities Permit Form Fauna & Flora
3-1827
Release of Migratory Birds
3-0300B
Report Of Investigation
3-1984
Warning & Waiver of Rights
3-0302
Reimbursable Claim Fir The Purchase of Evidence/Info
3-2038
Incident Report 3 Pt NCR
3-0303
Reconciliation of Purchase of Evidence Info
3-2039
Sensitive Material Notice
Date: 7-11-02
Page 3 of 3
Office Account Code:
Form 1556-1A
(May 1991) UNITED STATES
DOI BLM
PMDS PUBLICATIONS REQUISITION FORM FOR USFW
Requestor's Name:
Phone Number:
Requisition Number:
TO: BLM/PMDS, SC-657B
DFC, BUILDING 41 Ent E16
DENVER, CO 80225-0047
OFC: FTS/COM 303-236-1975/7637
PMDS FAX: FTS/COM (303) 236-0845
Credit Card Information as Follows (all fields are required)
Name (as it appears on card):
Card account number: Expiration date:
Fax number:
COMPLETE SHIPPING ADDRESS (NO P.O. BOX NUMBERS)
Enter office name / Attn:
Room / Suite Number
Street Address
City, State, Zip
Fed-Ex Account Number:
PMDS USE ONLY
ITEM
NUMBER
ITEM DESCRIPTION
Qty Rqstd U I
O
PMDS USE ONLY
ITEM
NUMBER
ITEM DESCRIPTION
Qty Rqstd
3-2046
Application for Enforcement Authority
3-2052
Evidence Identification Tag
3-2053
Evidence Submittal Form & Examination Request
3-2057
Certificate of Destruction of Abandoned or Forfeited Property 4 Pt NCR
3-2063
Chain of Custody Record
3-2064
Evidence Storage Log
3-2065
Inventory Record of Seized Vehicle Vessel or Aircraft
3-2069
Located Evidence List
3-2070
Evidence Collection Notes
3-2074
Report of Refused Clearance
3-2095
Cash Bond For Release of Seized Property
3-2096
Fish & Wildlife Abandonment Form 3 Pt NCR