Request For Printing And Design Form

FOR INFORMATION CALL (NAME): Patrick McGreevy
TELEPHONE: 616-3694
ORIGINATING ORGANIZATION: Antitrust - HCTF
CUSTOMER NO.: ATR - 1462
TITLE OF PUBLICATION:
OBL MTH: 0203
AMT (EST COST): $5,000
NO. OF PAGES (Including Blanks):
YREGDOC: 2021426
ACCTCLASS: OC4149
SUB-OBJECT CLASS: 2499
REQUIRED DELIVERY DATE: 4/3/02
NO. OF COPIES EACH PAGE
OVERTIME AUTHORIZED: ____ Yes ____ No
DIRECTIVE FORM NO.:
FORM WILL LAST / MONTHS:
TOTAL PAGES:

DOCUMENT DESIGN UNIT CHECK APPROPRIATE BOX (Additional instructions should be attached on another sheet)

__X__   COURT EXHIBIT

_____   VUGRAPHS/SLIDES

_____   STATIONARY / FORMS

_____   DESIGN / CONSULTATION

_____   PUBLICATIONS, COVER, CERTIFICATES, AND INVITATION DESIGN

_____   ENGRAVING, BANNERS, SIGNS

_____   COLOR COPIES

_____   COLOR POSTERS/CHARTS UP TO 30X40

_____   MOUNTING AND LAMINATING UP TO 30X40

_____   OTHER

STANDARD CERTIFICATE: _____ FRAMED, _____ UNFRAMED, _____ CUSTOM
RETIREMENT CERTIFICATE: _____ FRAMED, _____ UNFRAMED, _____ CUSTOM
SPECIAL CERTIFICATE: _____ FRAMED, _____ UNFRAMED, _____ CUSTOM

DOJ SEALS
14 x 14: _____ FRAMED, _____ UNFRAMED, _____ CUSTOM
16 x 20: _____ FRAMED, _____ UNFRAMED, _____ CUSTOM
20 x 24: _____ FRAMED, _____ UNFRAMED, _____ CUSTOM

PRINTING PROCUREMENT UNIT

PAPER
TEXT: TYPE _____, SUB WEIGHT _____, COLOR _____, INK _____
COVER: TYPE _____, SUB WEIGHT _____, COLOR _____, INK _____

PRINT: _____ One Side Only, _____ Head to Head, _____ Head to Foot, _____ Follow Copy, _____ Head to Side
TRIM SIZE _____
COVER: _____ Self, _____ Separate
GATHER: _____ As Folded, _____ Other

BIND
STICH: Number of Staples _____
POSITION: _____ Upper Left Corner, _____ Left Side, _____ Top, _____ NA
Bind Type: _____ Perfect Bind, _____ Saddle Stich, _____ Tape Binding, _____ Acco Fastner, _____ Comb Bind, _____ Velo Bind, _____ Spiral, _____ Other
PUNCH: _____ No. Holes, _____ Center to Center, _____ Olameter
POSITION: _____ Top, _____ Side

PKG: _____ Shrink Wrap, _____ Carton, _____ Band in Sets, _____ Tie, _____ Suitable, _____ Separator Sheets
QUANTITY PER PACKAGE _____

DO NOT WRITE IN SPACE BELOW
GPO / FPI / CONTR. REQUISITION NO.:
PROGRAM NO.:
PRINT ORDER NO.:
SCHEDULED COMPLETION DATES: DOU _____, PPU _____, POU _____, MOU _____

ADDITIONAL INSTRUCTIONS (Additional instructions should be attached on another sheet)

DISTRIBUTION MAIL CODES OR DELIVERY ADDRESS (Additional instructions should be attached on another sheet)

Patrick McGreevy
US DOJ
Antitrust Division
325 7th St. NW
Room 439
Washington, DC 200530

CERTIFICATION: I certify that this work is authorized by law and ? to the conduct of business of the U.S. Department of Justice and any illustration or overtime necessary relates entirely to the Public business (Title 44 U.S.C.)

Signed _______________/s/________________
Title _______________?________________
Date _______________3-26-2________________

DIRECTIVES/FORMS MGMT.: Approved _________ Date _________
DOCUMENT DESIGN UNIT: Approved _________ Date _________
PRINTING PROCUREMENT UNIT: Approved _________ Date _________
PRINTING OPERATIONS UNIT: Approved _________ Date _________
MAIL DISPATCH UNIT: Approved _________ Date _________
CUSTOMER RECEIVED: Approved _________ Date _________

This form was electronically produced by Ellite Federal Forms, Inc.
Form DOJ-2 (Rev. 05/85)

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Updated August 14, 2015

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