Wilderness Boundary Sign Request Form (filled out by ...



SIGN REQUISITION(Reference EM 7100-15)TO BE COMPLETE BY AS1. Purchase Order Number FORMTEXT ?????Office Location Codes5. Appropriation Code6. Required Delivery Date2. Region3. Forest4. District FORMTEXT RMOP12 FORMTEXT 11/15/2000 FORMTEXT 01 FORMTEXT 11 FORMTEXT ?????7. Name and Address of Ordering Unit (Include Zip Code)8. Ship To (Include Zip Code) FORMTEXT Gallatin National ForestWilderness Program ManagerPO Box 130, Bozeman, MT 59715 FORMTEXT Gallatin National Forest10 East Babcock, room 290Bozeman, MT 597159. For Technical Assistance Contact10. Telephone No.11. FAX Telephone No. FORMTEXT Kimberly Schlenker or Jonathan Kempff FORMTEXT (406) 587-6743 or 587-6732 FORMTEXT ?????12. SignIdentification13. Sign Message and Special Instructions14. MaterialSUBSTRATEFINISH AND MISC.Line Item FORMTEXT See attached wilderness sign text. Black letters silk screened on international orange 3M reflectorized material series 3924 Orange, Scotchlite Durable Flourescent Diamond Grade Sheeting. Aluminum or fiberglass backboard. 11"x17" with grommets/mounting holes. Sign is cut in 1/2 and hinged with locking closure. On the fold down reverse face of this bright orange sign, standard black and grey Wilderness Boundary sign 27-6A is silk screened.REFLECTORIZED SIGN FORMTEXT FORMCHECKBOX HDO Plywood FORMCHECKBOX 100% Heat Act. MaterialSign No. FORMCHECKBOX Aluminum FORMCHECKBOX Edge Tape FORMTEXT ????? FORMCHECKBOX FiberglassEst. Sq. Ft. FORMCHECKBOX Other (Specify): FORMTEXT ????? FORMTEXT ?????ROUTED WOOD SIGNQuantity FORMCHECKBOX MDO Plywood FORMCHECKBOX Paint FORMTEXT ????? FORMCHECKBOX Redwood FORMCHECKBOX StainUnit Price FORMCHECKBOX Cedar FORMCHECKBOX Unfinished$ FORMTEXT ????? FORMCHECKBOX Oak FORMCHECKBOX Artificial WeatherItem Total FORMCHECKBOX Other (Specify): FORMTEXT ?????$ FORMTEXT ?????Line Item FORMTEXT On folded face of the above sign, silk screen standard wilderness boundary sign 27-6A.REFLECTORIZED SIGN FORMTEXT ????? FORMCHECKBOX HDO Plywood FORMCHECKBOX 100% Heat Act. MaterialSign No. FORMCHECKBOX Aluminum FORMCHECKBOX Edge Tape FORMTEXT 27-6A FORMCHECKBOX FiberglassEst. Sq. Ft. FORMCHECKBOX Other (Specify): FORMTEXT ????? FORMTEXT ?????ROUTED WOOD SIGNQuantity FORMCHECKBOX MDO Plywood FORMCHECKBOX Paint FORMTEXT ????? FORMCHECKBOX Redwood FORMCHECKBOX StainUnit Price FORMCHECKBOX Cedar FORMCHECKBOX Unfinished$ FORMTEXT ????? FORMCHECKBOX Oak FORMCHECKBOX Artificial WeatherItem Total FORMCHECKBOX Other (Specify): FORMTEXT ?????$ FORMTEXT ?????Line Item FORMTEXT ?????REFLECTORIZED SIGN FORMTEXT ????? FORMCHECKBOX HDO Plywood FORMCHECKBOX 100% Heat Act. MaterialSign No. FORMCHECKBOX Aluminum FORMCHECKBOX Edge Tape FORMTEXT ????? FORMCHECKBOX FiberglassEst. Sq. Ft. FORMCHECKBOX Other (Specify): FORMTEXT ????? FORMTEXT ?????ROUTED WOOD SIGNQuantity FORMCHECKBOX MDO Plywood FORMCHECKBOX Paint FORMTEXT ????? FORMCHECKBOX Redwood FORMCHECKBOX StainUnit Price FORMCHECKBOX Cedar FORMCHECKBOX Unfinished$ FORMTEXT ????? FORMCHECKBOX Oak FORMCHECKBOX Artificial WeatherItem Total FORMCHECKBOX Other (Specify): FORMTEXT ?????$ FORMTEXT ?????Line Item FORMTEXT ?????REFLECTORIZED SIGN FORMTEXT ????? FORMCHECKBOX HDO Plywood FORMCHECKBOX 100% Heat Act. MaterialSign No. FORMCHECKBOX Aluminum FORMCHECKBOX Edge Tape FORMTEXT ????? FORMCHECKBOX FiberglassEst. Sq. Ft. FORMCHECKBOX Other (Specify): FORMTEXT ????? FORMTEXT ?????ROUTED WOOD SIGNQuantity FORMCHECKBOX MDO Plywood FORMCHECKBOX Paint FORMTEXT ????? FORMCHECKBOX Redwood FORMCHECKBOX StainUnit Price FORMCHECKBOX Cedar FORMCHECKBOX Unfinished$ FORMTEXT ????? FORMCHECKBOX Oak FORMCHECKBOX Artificial WeatherItem Total FORMCHECKBOX Other (Specify): FORMTEXT ?????$ FORMTEXT ?????15. Submitted by (Signature)16. Title17. Date FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????18. Technical Approval by Sign Coordinator (Signature)19. Date FORMTEXT ????? FORMTEXT ????? ................
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