U.S. USDA Form usda-rus-251
U.S. Department of Agriculture
Rural Utilities Service
MATERIALS RECEIPT
DESCRIPTION OF ITEM
MANUFACTURER
AND CATALOG
NUMBER
CONTRACTOR
OWNER
DATE
FOR
UNIT
COST
-
PAGE
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0572-0107. The time required to complete this
information is estimated to average 60 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.
QUANTITY
Instructions: Prepare three (3) copies. Forward original to Owner, one copy to Contractor and one copy to
Engineer.
ITEM*
TOTAL
RECEIVED BY
* Item corresponds with item in list of materials in construction drawings.
RUS Form 251 (Rev. 2-95)
OF
-
PAGES
EXTENDED
COST