WPC  77WPC >?}Ag?(@-?O-?N}?OF?O?l=(q<$q^o!rZs7>  (  (Untitled)'3,, , ,   UB ) 3    *    d +    d ,    d /0ghjklmnopqrstuvwxyz{|}~P* * c:\inf42\forms\ad271.wpf c:\inf41\phuong2\ad271.wpfUS&& &&   >    h T_3_D11_+ i)T_3[A12], ? #   h T_3_A12_,# i)T_3[B12]- @    h T_3_B12_- i)T_3[C12]. A    h T_3_C12_. i)T_3[D12]/ B    h T_3_D12_/ i(SlideBW  C    h SLIDEBW  i)SlideClr  D    h SLIDECLR  i(NoSlide  E    h NOSLIDE  i*SlCollate  F    h SLCOLLATE  i&SlBox  G    h SLBOX  i(T_4[A1] H    h T_4_A1_ i(T_4[B1] I    h T_4_B1_ i(T_4[C1] J    h T_4_C1_ i(T_4[A2] K    h T_4_A2_ i(T_4[B2] L    h T_4_B2_ i(T_4[C2] M    h T_4_C2_ i(T_4[A3] N    h T_4_A3_ i(T_4[B3] O    h T_4_B3_ i(T_4[C3] P    h T_4_C3_ i'Slides Q %   h SLIDES% i(T_6[A1] R    h T_6_A1_ i(T_6[B1] S    h T_6_B1_ i(T_6[C1] T    h T_6_C1_ i'ViewBW  U    h VIEWBW  i(ViewClr  V    h VIEWCLR  i(T_7[A1] W    h T_7_A1_ i(T_7[B1] X    h T_7_B1_ i(T_7[C1] Y    h T_7_C1_ i'FilmBW  Z    h FILMBW  i(ColrNeg  [    h COLRNEG  i'SlFilm  \    h SLFILM  i*NoFileNeg  ]    h NOFILENEG  i'RetNeg  ^    h RETNEG  i(T_8[A1] _    h T_8_A1_ i(T_8[B1] `    h T_8_B1_ i(T_8[A2] a    h T_8_A2_ i(T_8[B2] b    h T_8_B2_ i(T_8[A3] c    h T_8_A3_ i(T_8[B3] d    h T_8_B3_ i)T_11[A1] e    h T_11_A1_ i)T_11[B1] f    h T_11_B1_ i(BWPaper  g    h BWPAPER  i*ColrPaper  h    h COLRPAPER  i)SWGlossy  i    h SWGLOSSY  i(SWMatte  j    h SWMATTE  i)Cibchrme  k    h CIBCHRME  i(Cropped  l    h CROPPED  i)FullFrme  m    h FULLFRME  i)Brdrless  n    h BRDRLESS  i)AutoBrdr  o    h AUTOBRDR  i)OthPaper  p    h OTHPAPER  i&Other q    h OTHER i)MntGator  r    h MNTGATOR  i)GatrThck s    h GATRTHCK i(MntFoam  t    h MNTFOAM  i)FoamSize u    h FOAMSIZE i)OthMount  v    h OTHMOUNT  i(OtherMt w    h OTHERMT i(InHouse  x    h INHOUSE  i*Freelance  y    h FREELANCE  i*StudPortr  z    h STUDPORTR  i'StudID  {    h STUDID  i'StudBW  |    h STUDBW  i(StudClr  }    h STUDCLR  i&DelTo ~ 3   h DELTO3 i%RmNo     h RMNO i(PhoneNo     h PHONENO i&Infor      h INFOR  i%Sign  3   h SIGN3 i&RecBy  3   h RECBY3 i(DateSgn     h DATESGN ?@d @}?O V ^$>0       P    ` $ &- Description of Work  N !"#                             P  &&    l^, & AD-271  !"#                             P  &&    ^nX & U.S. Department of Agriculture  &6 Request for Photographic Services   !"#      Z                       P  &&    hX, }& 1.  !"#                             P  &        }& Submit an original and two copies to Photography  }& Division, Office of Information, OGPA, Room 4425 So.  !"#                             P  &    hX,  }& 2.  !"#                             P  &        }& Do not schedule an appointment for studio photography  }& prior to submitting requisition to the Photography Division.  !"#                             P  &    hXr,  }& 3.  !"#                             P  &     r , }& Submit separate requests for black & white and color.  !"#                             P  &    hXl, }& 4.   !"#                             P  &     l  }& Shaded area to be filled in by Photographic Division  }& Personnel.   !"#                             P  &    Y^  } 1. Contractor's No. Num!"-./5$6789:;>?@ABCG                         P #      $      ' !  Y@$.,! *  < && = &&     P^ } 2. Cost Cost!"-./5867 89: ;>?@ABCG                         P #      $      ' !   $.,! *  < && = &&     \l ^ } 3. In-House Cost HseCost!"-./5E67 89: ;>?@ABCG                         P #      $      ' !   $.,! *  < && = &&     h J }& 4. Requesting Agency, Division, BranchJ Div!"-./5$67-89:-;>?@ABCG                         P #      $      ' J  Y@$.,! *  < && = &&     Y  }& 5. Photo Service No. ServNo!"-./5$6789:;>?@ABCG                         P #      $      ' #  Y@$.,! *  < && = &&     W  }& 6. Appropriation No. ApNo!"-./586789:;>?@ABCG                         P #      $      ' #  Y@$.,! *  < && = &&     Z@  }& 7. Reimbursement Code ReCode!"-./5$6789:;>?@ABCG                         P #      $      ' #  Y@$.,! *  < && = &&     Y@ }& 8. Date Submitted SubDate!"-./5867 89: ;>?@ABCG                         P #      $      ' #  Y@$.,! *  < && = &&     5@HASVALUE (SubDate) and #UPDATONLY    SubDate  ~      :@datevalue (@datetext (SubDate, "%2-%1-%5"))   SubDate   %2-%1-%5  "  #  7@VALUE (@DATETEXT (SubDate,"%5"))<=29   SubDate   %5  "  x         y@SETVALUE (SubDate, @DATEVALUE (@CONCAT (@DATETEXT (SubDate,"%2-%1"),"-20",@DATETEXT (SubDate,"%5"))),TRUE)    SubDate   SubDate   %2-%1  "   -20   SubDate   %5  "      #       Sl @ }& 9. Due Date DueDate! "-./5E67 89: ;>?@ABCG                         P #      $      ' #  Y@$.,! *  < && = &&     5@HASVALUE (DueDate) and #UPDATONLY    DueDate  ~      :@datevalue (@datetext (DueDate, "%2-%1-%5"))   DueDate   %2-%1-%5  "  #  7@VALUE (@DATETEXT (DueDate,"%5"))<=29   DueDate   %5  "  x         y@SETVALUE (DueDate, @DATEVALUE (@CONCAT (@DATETEXT (DueDate,"%2-%1"),"-20",@DATETEXT (DueDate,"%5"))),TRUE)    DueDate   DueDate   %2-%1  "   -20   DueDate   %5  "      #       h  }& 10. For Further Information Call InforCall! "-./5$6 789:;>?@ABCG                         P #      $      ' -  Y@$.,! *  < && = &&     l`  }& 11. Telephone No.` Phone! "-./5=6 789:;>?@ABCG                         P #      $      ' -() -  Y@$.,! *  < && = &&     y   }& 12. Copy Negatives  !"#                             P  &&      }& B/W  } }BW #$% &'()+,-.                             P   !  * `  1   2      3      }& Color  } }Color #!$% &'()+,-.                             P   !  * `  1   2      3     tN  " }& Quantity  !"#                             P  &&    oN  # }&o Ea.  !"#                             P  &&    nB $ }& of  !"#                             P  &&    p6 % }&J Size " !"#                             P  &&    N  T 1 T_1#$(/),-./012456789                                    P ! "$%&')*                      Y@$.,!  ( &&  3 &&    A     A     A     ?    ?    ?    ,"&$%&')*                       @$.,!  ( &&     ,"'$%&')*                       @$.,!  ( &&     *"($%&')*                      Y@$.,!  ( &&     ,"$%&')*                       @$.,!  ( &&     ,"$%&')*                       @$.,!  ( &&     *"$%&')*                      Y@$.,!  ( &&     ,"$%&')*                       @$.,!  ( &&     ?T?N,"$%&')*                       @$.,!  ( &&     *"$%&')*                      Y@$.,!  ( &&     bT 3  T_3#$(i),-.'/012456789                                    P ! "$%&')*                      Y@$.,!  ( &&  3 &&    A     A     A     A     A     A     A     A     A     A     A     A     ?     ?    ?    ?      }& 13. Prints (List negative numbers  }&  in sequence below)"9$%&')*                       Y@$.,!  ( &&     .":$%&')*                        @$.,!  ( &&     .";$%&')*                        @$.,!  ( &&     ."<$%&')*                        Y@$.,!  ( &&     * "=$%&')*                    #  Y@$.,!  ( &&     ,">$%&')*                       @$.,!  ( &&     ,"?$%&')*                       @$.,!  ( &&     *"@$%&')*                      Y@$.,!  ( &&     * "A$%&')*                    #  Y@$.,!  ( &&     , "B$%&')*                       @$.,!  ( &&     , "C$%&')*                       @$.,!  ( &&     * "D$%&')*                      Y@$.,!  ( &&     *  "E$%&')*                    #  Y@$.,!  ( &&     , "F$%&')*                       @$.,!  ( &&     ,"G$%&')*                       @$.,!  ( &&     *"H$%&')*                      Y@$.,!  ( &&     * "I$%&')*                    #  Y@$.,!  ( &&     ,"J$%&')*                       @$.,!  ( &&     ,"K$%&')*                       @$.,!  ( &&     *"L$%&')*                      Y@$.,!  ( &&     * "M$%&')*                    #  Y@$.,!  ( &&     ,"N$%&')*                       @$.,!  ( &&     ,"O$%&')*                       @$.,!  ( &&     *"P$%&')*                      Y@$.,!  ( &&     * "Q$%&')*                    #  Y@$.,!  ( &&     ,"R$%&')*                       @$.,!  ( &&     ,"S$%&')*                       @$.,!  ( &&     *"T$%&')*                      Y@$.,!  ( &&     * "U$%&')*                    #  Y@$.,!  ( &&     ,"V$%&')*                       @$.,!  ( &&     ,"W$%&')*                       @$.,!  ( &&     *"X$%&')*                      Y@$.,!  ( &&     *  "Y$%&')*                    #  Y@$.,!  ( &&     ,!"Z$%&')*                       @$.,!  ( &&     ,""[$%&')*                       @$.,!  ( &&     *#"\$%&')*                      Y@$.,!  ( &&     * $"]$%&')*                    #  Y@$.,!  ( &&     ,%"^$%&')*                       @$.,!  ( &&     ,&"_$%&')*                       @$.,!  ( &&     *'"`$%&')*                      Y@$.,!  ( &&     * ("a$%&')*                    #  Y@$.,!  ( &&     ,)"b$%&')*                       @$.,!  ( &&     ,*"c$%&')*                       @$.,!  ( &&     *+"d$%&')*                      Y@$.,!  ( &&     * ,"e$%&')*                    #  Y@$.,!  ( &&     ,-"f$%&')*                       @$.,!  ( &&     ,."g$%&')*                       @$.,!  ( &&     */"h$%&')*                      Y@$.,!  ( &&     |"$ j }& 14. Slide Duplication . !"#                             P  &&     V "$  k      P    H& }& B/W  } }SlideBW#l$%&1'()+,-.                             P   !  * `  1   2      3     H& }& Color  } }SlideClr#n$%&1'()+,-.                             P   !  * `  1   2      3     ??ON "$T 1 T_4#$(o),-../012456789                                    P ! "0$%&')*                      Y@$.,!  ( &&  3 &&    A     A     A     ?    ?    ?    ,"p$%&')*                       @$.,!  ( &&     ,"q$%&')*                       @$.,!  ( &&     *"r$%&')*                      Y@$.,!  ( &&     ,"s$%&')*                       @$.,!  ( &&     ,"t$%&')*                       @$.,!  ( &&     *"u$%&')*                      Y@$.,!  ( &&     ,"$%&')*                       @$.,!  ( &&     ,"$%&')*                       @$.,!  ( &&     *"$%&')*                      Y@$.,!  ( &&      ( }& Number  } }NoSlide#v$%&3'()+,-.                             P   !  * `  1   2      3      ( }& Collate  } }SlCollate#w$%&3'()+,-.                             P   !  * `  1   2      3       ( }& Box  } }SlBox#x$%&3'()+,-.                             P   !  * `  1   2      3     V)  }& 15. Ozalid Slides Slides!"-~./564789:;>?@ABCG                         P #      $      ' %  Y@$.,! *  < && = &&     N )T 1 T_6#$(),-4./012456789                                    P ! "y$%&')*                      Y@$.,!  ( &&  3 &&    A     ?    ?    ?    ,"$%&')*                       @$.,!  ( &&     ,"$%&')*                       @$.,!  ( &&     *"$%&')*                      Y@$.,!  ( &&     {*  }& 16. View Graph 6 !"#                             P  &&    *+ }& B/W  } }ViewBW#$%&7'()+,-.                             P   !  * `  1   2      3      *+ }& Color  } }ViewClr#$%&7'()+,-.                             P   !  * `  1   2      3     N *T 1 T_7#$(),-6./012456789                                    P ! "y$%&')*                      Y@$.,!  ( &&  3 &&    A     ?    ?    ?    ,"$%&')*                       @$.,!  ( &&     ,"$%&')*                       @$.,!  ( &&     *"$%&')*                      Y@$.,!  ( &&     z   }& 17. Film Developing * !"#                             P  &&    x  }& No. of  }& rolls A !"#                             P  &&    pf!  }& Type G  !"#                             P  &&    J  }& B/W  } }FilmBW#$%-&'()+,-.                             P   !  * `  1   2      3      JH  }& Color Negative  } }ColrNeg#$%-&' ()+,-.                             P   !  * `  1   2      3     H  }& Slides  } }SlFilm#$%9&'()+,-.                             P   !  * `  1   2      3     x T 1 T_8# $(),A-./012456789                                    P ! "$%&')*                      Y@$.,!  ( &&  3 &&    A     A     A     ?    ?     ,"$%&')*                       @$.,!  ( &&     ,"$% &')*                       @$.,!  ( &&     ,"$%&')*                       @$.,!  ( &&     ,"$% &')*                       @$.,!  ( &&     ,"$%&')*                       @$.,!  ( &&     ,"$% &')*                       @$.,!  ( &&     J: }& Number & File Negatives  } }NoFileNeg#$%-&'()+,-.                             P   !  * `  1   2      3      Jh }& Return Negatives  } }RetNeg#$%-&' ()+,-.                             P   !  * `  1   2      3     bZ  }& 17a. Contacts  }&  No. per roll: * !"#                             P  &&    xbT 1 T_11#!$(),A-./012456789                                    P ! "$%&')*                      Y@$.,!  ( &&  3 &&    ??OA     ?    ?     ,"$%&')*                       @$.,!  ( &&     ,"$% &')*                       @$.,!  ( &&     pZ  }& 18. Paper * !"#                             P  &&    y* }& 19. Mounting *"& !"#                             P  &&    r* }& 20. Photography (Give additional information in 25) *(& !"#                             P  &&    "$* }& 21. Studio Photography *.& !"#                             P  &&     }& B/W  } }BWPaper"#$%3&'()+,-.                             P   !  * `  1   2      3      }& Color  } }ColrPaper##$%3&'()+,-.                             P   !  * `  1   2      3      }& SW Glossy  } }SWGlossy$#$%3&'()+,-.                             P   !  * `  1   2      3     8 }& SW Matte  } }SWMatte%#$%3&'()+,-.                             P   !  * `  1   2      3      }& Cibachrome  } }Cibchrme&#$%3&!'()+,-.                             P   !  * `  1   2      3      }& Cropped  } }Cropped'#$%B&'()+,-.                             P   !  * `  1   2      3      }& Full Frame  } }FullFrme(#$%B&'()+,-.                             P   !  * `  1   2      3      }& Borderless  } }Brdrless)#$%B&'()+,-.                             P   !  * `  1   2      3      8F }& Autograph Border  } }AutoBrdr*#$%B&' ()+,-.                             P   !  * `  1   2      3      }& Other  } }OthPaper+#$%B&!'()+,-.                             P   !  * `  1   2      3     /! Other!,"-./5G6!7 89:;>?@ABCG                         P #      $      '   Y@$.,! *  < && = &&     X }& Gator board  } }MntGator-#$%3&#'()+,-.                             P   !  * `  1   2      3     M~& }& Thickness GatrThck!."-./5>6"789:;>?@ABCG                         P #      $      '   Y@$.,! *  < & = &&      }& Foam Core  } }MntFoam/#$%3&%'()+,-.                             P   !  * `  1   2      3     H~ }& Size^ FoamSize!0"-./5>6$789:;>?@ABCG                         P #      $      '   Y@$.,! *  < & = &&     x }& Other  } }OthMount1#$%3&''()+,-.                             P   !  * `  1   2      3     I^F:  Size OtherMt!2"-./586&789:;>?@ABCG                         P #      $      '   Y@$.,! *  < & = &&     ! }& In-House  } }InHouse3#$%3&+'()+,-.                             P   !  * `  1   2      3     ! }& Freelance  } }Freelance4#$%B&+'()+,-.                             P   !  * `  1   2      3      V)       P    z& }& Portrait  } }StudPortr5#$%3&1'()+,-.                             P   !  * `  1   2      3       (~ }& Identification  } }StudID6#$%3&3' ()+,-.                             P   !  * `  1   2      3     z&R }& B/W  } }StudBW7#$%B&1'()+,-.                             P   !  * `  1   2      3      (R }& Color  } }StudClr8#$%B&3'()+,-.                             P   !  * `  1   2      3     c)* }& 22. Deliver Completed Order To:* DelTo!9"-./5*647&89:&;>?@ABCG                         P #      $      ' 3  Y@$.,! *  < && = &&     O* }& 23. Room No. RmNo!:"-./5*66789:;>?@ABCG                         P #      $      '   Y@$.,! *  < && = &&     n*.  }& 24. Telephone No.. PhoneNo!;"-./5>66789:;>?@ABCG                         P #      $      ' () -  Y@$.,! *  < && = &&     $,$  }& 25. Additional Information (Attach additional sheets, if necessary.)$ Infor!<"-./5687N89:N;>?@ABCG                         P #      $      '    Y@$.,! *  < && =  &     nD/X }& 26. Signature of Official Approving Request Sign!="-./56<789:;>?@ABCG                         P #      $      ' 3  Y@$.,! *  < && = &&     c6D/ X }& 27. Completed Order Received by RecBy!>"-./5"6<789:;>?@ABCG                         P #      $      ' 3  Y@$.,! *  < && = &&     iD/. X }& 28. Date. DateSgn!?"-./5>6<789:;>?@ABCG                         P #      $      ' () -   Y@$.,! *  < && = &&     5@HASVALUE (DateSgn) and #UPDATONLY    DateSgn  ~      :@datevalue (@datetext (DateSgn, "%2-%1-%5"))   DateSgn   %2-%1-%5  "  #  7@VALUE (@DATETEXT (DateSgn,"%5"))<=29   DateSgn ??  %5  "  x         y@SETVALUE (DateSgn, @DATEVALUE (@CONCAT (@DATETEXT (DateSgn,"%2-%1"),"-20",@DATETEXT (DateSgn,"%5"))),TRUE)    DateSgn   DateSgn   %2-%1  "   -20   DateSgn   %5  "      #        1x d Form AD-271 (2/86) F?  !"#                             P  &    1  d This form was electronically produced by Elite Federal Forms, Inc. ? !"#                             P  &    ?=(defg h =O<$defg <^o elite10.DLL IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. elite10.COM IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. 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