FS-2400-4 Forest Pducts Contract

Region: National Forest: Ranger District:		FOREST PRODUCTS CONTRACT and CASH RECEIPT (Ref. FSM 2430, FSH 2409.18, and FSH 6509.17) U.S. DEPARTMENT OF AGRICULTURE – FOREST SERVICE						Page 1, Contract FS-2400-4 (7/98) OMB No. 0596-0085 Expires 08/31/2008
Purchaser's Name and Complete Address:			TSA Contract No.	Sale Name						Total Sale Acres
			Award Date			Termination Date				Acres to be Cut
			Type of Sale:		Payment Method:				Sale Condition:
Purchaser's Tax Identification Number:			Load Ticket Numbers: From:				Thru:
			Sale Area Description:
Vehicle Information:
Year:	License Plate:
Make:	State:		Remarks:
Color:	Model:
Performance Bond Amount: $
Original Contract:	Modification No.:

INCLUDED PRODUCTS

Species	Product	Unit of Measure	Estimated Quantity	Rate per Products	UOM $ Assoc. Charges	$ Total Products	$ Total Assoc. Charges
Total Quantity				Total		$	$

UTILIZATION STANDARDS

			Minimum Specifications
			Tree		Piece Required to be Removed
Species	Product	Unit of Measure	DBH (Inches)	No. of Min. Pieces per Tree	Length (Feet)	DIB at Small End (Inches)	Net Volume in % of Gross Volume	Maximum Stump Height

REVISED INCLUDED PRODUCTS

Species	Product	Unit of Measure	Estimated Quantity	+ or -	Rate per Products	UOM $ Assoc. Charges	$ Total Products	$ Total Assoc. Charges
Revised Total Quantity				Revised Total			$	$

RECORD OF PAYMENTS

Date	Payment Amount	Bill No.	Date	Payment Amount	Bill No.	Date	Payment Amount	Bill No.

RECORD OF REFUNDS

Date	Refund Amount	Date	Refund Amount	Date	Refund Amount	Date	Refund Amount

PRODUCT QUANTITY REMOVAL RECORD

Date	Quantity Removed	Date	Quantity Removed	Date	Quantity Removed	Date	Quantity Removed	Date	Quantity Removed

SIGNATURES

PURCHASER SIGNATURE	Date		CONTRACTING OFFICER SIGNATURE	Date
Public reporting burden for this collection of information is estimated to average 5 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. Under the Paperwork Reduction Act of 1995, an agency shall not conduct or sponsor, and no persons are 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 0596-0085.