COLORADO BOXED BEEF AUTHORIZATION TO TRANSFER USDA FOODS ALL

AUTHORIZATION TO TRANSFER USDA COMMODITIES

COLORADO BOXED BEEF

AUTHORIZATION TO TRANSFER USDA FOODS

All Transfers Must be Taken on Next Delivery

USDA FOOD(S) TO BE TRANSFERRED

MATERIAL NUMBER	NUMBER OF UNITS	USDA FOOD NAME	LOCATION OF USDA FOOD STATE CONTRACTED WAREHOUSE-COLORADO BOXED BEEF	DATE USDA FOOD ALLOCATED/RECEIVED (BY TRANSFERRING AGENCY)

TRANSFERRING CONTRACTING ENTITY (CE transferring USDA Foods out)

Contracting Entity Identification Number (CE ID)

Name of Contracting Entity (CE)

Address

Telephone No.

Email:

_______________________________________________________________________ ____________________________________________

Signature – Authorized Representative of Transferring Agency Date

RECEIVING CONTRACTING ENTITY (CE accepting USDA Foods is responsible for delivery charges of items noted above)

Contracting Entity Identification Number (CE ID)

Name of Contracting Entity (CE)

Address

Telephone No.

Email:

________________________________________________________________________ ______________________________________________________

Signature – Authorized Representative of Receiving Agency Date

Colorado Boxed Beef authorizes the transfer of the above USDA Foods.

__________________________________________________ _____________________________________

Signature – Colorado Boxed Beef Representative Date

Please scan and email to Patricia Zamora at Colorado Boxed Beef: [email protected]

If you have any questions, please call 210-819-2178