PERSONAL ITEM PURCHASE REQUEST

							                         PERSONAL ITEM PURCHASE REQUEST
1. ITEM DESCRIPTION(s):




2. TOTAL ESTIMATED COSTS INCLUDING PRICE JUSTIFICATION FOR ITEM(S) PURCHASED:




3. JUSTIFICATION FOR PURCHASE OF ITEM(S) IS MISSION ESSENTIAL AND A NECESSARY EXPENSE FOR
THE GOVERNMENT BASED ON THE FOLLOWING:




4. ADDITIONAL FACTORS OR INFORMATION SUPPORTING THE PURCHASE:




5. BY SIGNING BELOW, I CERTIFY THAT THE ITEM(s) BEING PURCHASED ARE DEEMED PROPER AND ARE
NOT BEING PURCHASED SOLEY FOR THE CONVENIENCE, COMFORT, OR ENTERTAINMENT OF THE
EMPLOYEES.




SIGNED BY:
                            ( TYPED NAME / OFFICE SYMBOL/ DATE )




ASC FORM 715-6, Jul 07                                         Replaces AFSC Form 715-6, Mar 05, which is obsolete.