DA Form 1756 Chaplains' Fund Purchase Order and Receiving Record

DA Form 1756 - also known as the "Chaplains' Fund Purchase Order And Receiving Record" - is a Military form issued and used by the United States Department of the Army.

The form - often mistakenly referred to as the DD form 1756 - was last revised on September 1, 1999. Download an up-to-date fillable PDF version of the DA 1756 below or request a copy through the chain of command.

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1. PO NUMBER
CHAPLAINS' FUND PURCHASE ORDER AND RECEIVING RECORD
For use of this form, see DA PAM 165-18; the proponent agency is CCH
2b. PHONE
2a. ORDER FROM (Ship/Invoice Address)
3. DATE (YYYYMMDD)
2c. FAX
4. SHIPPING INSTRUCTIONS
2d. ACCOUNT NUMBER
2e. STATE TAX ID NUMBER
5. TO
6a.
6b. ITEM DESCRIPTION
6c. UNIT
6d. UNIT COST
6e. TOTAL
QTY
6f. SHIPPING TOTAL
6g. PURCHASE ORDER TOTAL
MARK ALL PACKAGES/PAPERS/INVOICES WITH PURCHASE ORDER NUMBER
7a. PRINTED NAME OF FUND MANAGER
7b. SIGNATURE OF FUND MANAGER
8. NOTICES TO VENDOR
a. No appropriated U.S. Government funds will be paid as a result of this order.
b. This order is not valid after 90 days from the date of issuance. All items must be shipped within 90 days from the date of this PO.
c. This is a firm order only if your price does not exceed the maximum line item or total price on this order. If you cannot perform in exact
accordance with this order, withhold performance and notify the Fund Manager.
d. For subscription orders, see attached statement.
9. RECEIVING RECORD
a. RECEIVED VIA
b. DATE (YYYYMMDD)
c. CONDITION
GOOD
DAMAGED
d. EXCEPTIONS
e. RECEIVED BY (Printed Name)
f. SIGNATURE
DA FORM 1756-R, MAY 89, IS OBSOLETE
APD LC v1.00ES
DA FORM 1756, SEP 1999

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