Attachment 10 AF 3065 Contract Progress Report.pdf

CONTRACT PROGRESS REPORT OMB NO. 0704-0188

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PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. RETURN COMPLETED FORM TO : SAF/AQCO, 1060 Air Force Pentagon, Washington DC 20330-1060.

CONTRACTOR ADDRESS

REPORT NO. PERIOD COVERED

FROM: TO:

PROJECT NO. CONTRACT NO. COMPLETION DATE

LINE

NO.

WORK ELEMENT % OF

TOTAL

% COMPLETED

THIS PERIOD

% COMPLETED

CUMULATIVE

TOTAL

REMARKS

At the Contracting Officer's discretion and according to the payments clause of the contract, the information provided on this form may be used for computing progress payments.

PROGRESS OR COMPLETION CERTIFICATE

I hereby certify that the contractor has satisfactorily completed the indicated percentage of the contract per contract specifications.

TYPE OR PRINT NAME AND TITLE

REVIEWED BY CONTRACTING OFFICER

TYPE OR PRINT NAME AND TITLE

AF IMT 3065, 19960401, V1 PREVIOUS EDITION IS OBSOLETE.

TYPE OR PRINT NAME AND TITLE

DATE

APPROVED DISAPPROVED

APPROVED DISAPPROVED