form
No.
Form 17-C, No. 0001
Date
August 1, 1994
To
Research & Other forms counter (E. R. Faulkner)

Form 17-C, Replacement Supplies Requisition: Stapler, Rm 203

Form 17-C. Replacement Supplies Requisition. No. 0001.

Section 1. Requesting

Line Entry
Name R. S. Tully
Division Research & Other
Location Rm 203, Building 2
Date Monday, August 1, 1994

Section 2. Original requisition

Line Entry
Original Form 17-B, dated February 12, 1990
Attached Yes. Originator’s copy, from the division file.
Countersigned D. H. Ashworth, February 12, 1990
Nature of discrepancy Section 4 (Delivery) is blank. It has been blank for 1,631 days. R.S.T.

Section 3. Circumstance (mark one)

  • ☐ 1. The supplies were delivered in quantities differing from those specified.
  • ☐ 2. The supplies were delivered in a condition unsuitable for their intended use.
  • ☐ 3. The supplies were delivered to a location other than that specified.
  • ☑ 4. The supplies were not delivered.

Section 4. Items to be replaced

Item Description Quantity
1 Stapler, desk, standard One (1)

Remarks: The second stapler. The first is in Rm 117 and is not the subject of this form. Item 2 of the original (staples) is not requested at this time.

Section 5. Forms counter

Line Entry
Received Monday, August 1, 1994, 8:05 AM
Returned Wednesday, August 3, 1994
By E. R. Faulkner

The original Form 17-B was not approved. Supplies not approved were not requisitioned. Supplies not requisitioned cannot be replaced. E.R.F.

See also: Form 22, Logistics to Research & Other, October 1, 1992, “Allocation of staplers”.

The attachment is returned to the division file with this form.

Day File, Monday, August 1, 1994 · Reading Room · Systems Corp. is accepting applications for one (1) position.