Attachment 5- Periodic Inventory Count Form.pdf

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Overhaul of Propeller Assemblies and related components
Solicitation number
70Z03822QH0000001
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Attachment 5

Periodic Inventory Count Form

Standard OMandS FY21 Qtr1 Prepared by: B.Caron

Commercial Due ins OIG Inventory Sample

10-Nov-20

Record to Floor

First Count Second Count

Counter Signature and Date Counter Signature and Date

Observed By_______________of_______________

Document

Number

Vendor

Code Vendor

Line Stat

Date

Q ty IM Niin Nomen

Part

Number

Serial

No.

Proc

Type Verified

Ext

Price

70Z038- 12345 ABC Inc 10 OCT 21 1 HB 012345678 Valve A12-B345 7890 2 $ 20.00

70Z038- 12345 ABC Inc 10 OCT 21 1 HB 012345678 Valve A12-B345 2345 2 $ 20.00

70Z038- 12345 ABC Inc 10 OCT 21 1 HB 012345678 Valve A12-B345 1234 2 $ 20.00

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