Attachment 06 - MROL Data Item Transmittal Form.docx

N68520-2X-D-00XX

Attachment 6

DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM

Contract #: N68520-2X-D-00XX Task Order: TBD

CLIN/SLIN: / TITLE:

Block 14 Distribution:

Other:

Doc. Ref. No.: Date:

From:

To: Fleet Readiness Center Aviation Support Equipment (FRCASE), ADDRESS, ATTN: COR

The above detailed CDRL item is forwarded for review and acceptance / rejection. This item is due . The Government review period is days.

Sincerely, Signature: _____________________________________ Typed Name/Title: ______________________________

ENDORSEMENT: Date Received:

( ) Accepted.

( ) Accepted. Attached comments must be incorporated into the next scheduled submission.

( ) Rejected, comments attached. Change pages ( ) are ( ) not sufficient for correction.

Contractor is allowed ( ) 30 days or ( ) days to resubmit.

Signature:___________________________________________ Typed Name/Title:____________________________________ Code: Date:_______________

Return to Contractor Via: Date:

CC w/Encl.:

CC w/o Encl.: