Attachment_6_-_DHS700-21_MIRR_(BB512700).pdf
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- Attached to
- Soft Torso Protection Body Armor (Level IV) Federal contract opportunity
- Solicitation number
- 70Z08418QBB512700
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Attachment 6: Material Inspection and Receiving Report (DHS700-21) (BB512700)
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DEPARTMENT OF HOMELAND SECURITY
MATERIAL INSPECTION AND RECEIVING REPORT
DATE
1. CONTRACT NO. 2. ORDER NO. 3. REPORT NO.
4. MATERIAL AND/OR SERVICES INSPECTED
5. CONTRACTOR
6. MANUFACTURER
7. PLACE OF INSPECTION
INSPECTION DATES QUANTITYCONTRACT LINE
ITEM NO(S)
(If applicable)
8.
10. RECEIVED 10. READY 11. STARTED 12. COMPLETED 13. REJECTED 14. ACCEPTED
DHS Form 700-21 (12-03)
PREVIOUS
REPORTS
THIS
REPORT
TOTAL TO
DATE
15. SUBMITTED
16. REJECTED
17. ACCEPTED
18. QUANTITY ON
ORDER
19. ACCEPTED TO
DATE
20. BALANCE
REMAINING
21. REMARKS (Use Continuation Sheet for Additional Entries)
22. INSPECTED BY 23. TITLE
The materials and/or serices listed herein have been iinspected or certified test data has been examined, by me or under my supervision. The materials and/or services listed above as accepted conform to contract requirements. Those listed as rejected do not conform and may not be delivered, except as authorized under "Remarks."
24. SIGNATURE OR NAME 25. TITLE 26. DATE
CPrestipino Typewritten Text
70Z08418QBB512700
CPrestipino Typewritten Text
CPrestipino Typewritten Text Attachment 6 - MIRR Sample
INSPECTION DATES QUANTITYCONTRACT LINE
ITEM NO(S)
(If applicable)
8.
10. RECEIVED 10. READY 11. STARTED 12. COMPLETED 13. REJECTED 14. ACCEPTED
3. REPORT NO.
DEPARTMENT OF HOMELAND SECURITY
MATERIAL INSPECTION AND RECEIVING REPORT (Cont'd )
DHS Form 700-21 (12-03) Page 2
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