U.S. DOD Form dod-dd-1150 SHEET NO. ISSUE REQUEST FOR ISSUE OR TURN-IN NO. OF 5. REQUEST NUMBER SHEETS TURN-IN 1. FROM: 6. DATE MATERIEL REQUIRED 7. PRIORITY 2. TO: 8. VOUCHER NUMBER 9. POSTED DATE BY DATE BY 3. ACCOUNTING AND FUNDING DATA 4. END IDENTIFICATION ITEM ITEM NO. a a. NAME AND MANUFACTURER b. MODEL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIEL AND/OR SERVICES b UNIT * OF CODE ISSUE d c c. SERIAL NUMBER QUANTITY e d. PUBLICATION SUPPLY ACTION f UNIT PRICE g SHEET TOTAL *ISSUE - I - Initial; R - Replacement 10. ISSUE OR TURN-IN OF DATE QUANTITIES IN "QUANTITY" COLUMN IS REQUESTED DD FORM 1150, OCT 57 BY TURN-IN - U - Unserviceable; S - Serviceable 11. RECEIVED QUANDATE TITIES IN "SUPPLY ACTION" COLUMN REPLACES EDITION OF 1 JUL 56 WHICH MAY BE USED GRAND TOTAL BY TOTAL COST h