Encl. (3) to COMDTINST 16477.5
U.S. COAST GUARD
RECYCLING UNIT
BILL OF SALE FOR RECYCLABLE MATERIALS
Sale Number: _______________
ITEM
QTY UNIT $/UNIT TOTAL
____________________________________________________________________
____________________________________________________________________
_____________________________
______ ______ ______ _______
______________________________ ______ ______ ______ _______
_____________________________
______ ______ ______ _______
______________________________ ______ ______ ______ _______
______________________________ ______ ______ ______ _______
______________________________ ______ ______ _____ _______
TOTAL SALE
____________
Terms:
Payment is due 10 days from date of sale. No discounts apply.
Scale tickets must be submitted with remittance. Above prices include pick up and weighing.
The seller will provide labor and equipment to place the material on the buyer's vehicle. The buyer
is responsible for directing of the loading and is solely responsible for the material and sell
damages after it is loaded.
Authorized Seller:
____________________
Date: _______
Contracting Officer, U.S. Coast Guard
Agreement with above stated terms and conditions:
Buyer's Signature: _____________________
Date: ______
Printed: ______________________
Company: ________________________________
Phone:________________
Address:_______________________________
_______________________________
Remit payment to: Your Unit Address
COMMANDING OFFICER (XXXXX)
(e.g.)
123 COAST GUARD BLVD
LANDFILL, PU 12345-6789
Reminders:
1. Enclose scale tickets with your payment.
2. Please write the Sale Number on your check or enclose a copy of this Bill of Sale.
SAMPLE FORM
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