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ENGINEERING DATA LIST

DATE:

17 MAY 2022

REVISION: 12 *HISTORY*

CAGE:

98747

PAGE:

NSN:

1650016428153LE

DATA TECH:

Smith, Cordell D

END ITEM:

F-16 LANDING GEAR

ORGANIZATION/OFFICE SYMBOL:

429 SCMS GUMACB/

MANUFACTURER NAME:

OGDEN AIR LOGISTICS CENTER

REFERENCE NUMBER:

201309302-101

NOUN:

CYLINDER ASSEMBLY,A

LINE/

SUB CAGE

ENG DRAWING NUM/ ACCOMP

DOC NUM REV

NR

SHEETS

FURN

CODE

DIST

CODE NOUN REMARKS

L 98747 201309302 A S D DOWNLOCK ACTUATOR

ASSEMBLY PUSH PULL DRAG

BRACE

Smith, Cordell D 17 MAY 2022

(-101)

NAME: DATE:

S 98747 21A6486-H S D ADVANCE CHANGE

ENGINEERING ORDER

L 98747 201309303 A S D BEARING, PUSH PULL

DOWNLOCK ACTUATOR, F-16

MLG

(-01)

S 98747 21A6487-H S D ADVANCE CHANGE

L 98747 201309304 A S D SLIDER, POLYMER BEARING Smith, Cordell D 17 MAY 2022

S 98747 19A6038-H S D ADVANCE CHANGE

S 98747 21A6488-H S D ADVANCE CHANGE

L 98747 201309305 A S D SCRAPER, ROD Smith, Cordell D 17 MAY 2022

S 98747 19A6037-H S D ADVANCE CHANGE

S 98747 21A6489-H S D ADVANCE CHANGE

L 98747 201309306 A S D PISTON HEAD, PUSH PULL

S 98747 21A6490-H S D ADVANCE CHANGE

L 98747 201309307 A S D SLIDER, POLYER BEARING Smith, Cordell D 17 MAY 2022

S 98747 19A6036-H S D ADVANCE CHANGE

S 98747 21A6491-H S D ADVANCE CHANGE

C - CLASSIFIED DOCUMENT.

S - FURNISHED WITH SOLICITATION.

M - STABLE BASE DRAWING REQUIRED; FURNISHED WITH

CONTRACT AWARD.

X - DATA SUPPLIED (NOT IN JEDMICS).

R - FURNISHED BY PCO UPON REQUEST.

P - PARTIAL DOCUMENT FURNISHED.

V - VENDOR DRAWING; (NOT PROVIDED).

G - GOV'T DOCUMENT.

O - OTHERS, CONTRACTOR MUST ACQUIRE.

A- DATA NOT AVAILABLE.

FURNISHED METHOD CODE LEGEND:

Page 1 of 3EDL Version 12Generated by PRPS using Jasper Reports on 08 May 2023

L 98747 201309308 A S D ROD, PISTON, PUSHPULL

S 98747 21A6492-H S D ADVANCE CHANGE

L 98747 201309309 A S D CYLINDER ASSEMBLY,

PUSHPULL DOWNLOCK

ACTUATOR

(-101)

S 98747 21A6493-H S D ADVANCE CHANGE

L 98747 201309310 A S D JAM NUT, ROD END, PUSH

PULL DOWNLOCK ACTUATOR

S 98747 18A0966-H S D ADVANCE CHANGE

S 98747 21A6494-H S D ADVANCE CHANGE

L 17576 2006806 S D SPRING, COMPRESSION-

DOWNLOCK ACTUATOR,

DRAG BRACE

(-1)

S 98747 17C0752-H S D ENGINEERING ORDER

S 98747 19A6318-H S D AESO

L 17576 2006815 D S D SPRING, ACTUATOR-

DOWNLOCK

S 98747 21C6495-H S D AESO

L 17576 2006816 G S D ROD END ASSEMBLY,

ACTUATOR, DOWNLOCK

(-103)

S 98747 21C6496-H S D AESO

L 17576 2006825 B S D ADAPTER, SPRING,

S 98747 21C6005-H S D ADVANCE CHANGE

Page 2 of 3EDL Version 12Generated by PRPS using Jasper Reports on 08 May 2023

L 17576 2006826 A S D RETAINER, SPRING,

S 98747 16C0699-H S D AESO

L 98747 200827953 A S D LABEL UNIQUE

IDENTIFICATION (UID)

LANDING GEAR

L 98747 201416605 E S D LANDING GEAR

REQUIREMENTS DOCMUMENT

STANDARD ENGINEERING TEXT

RELEASE OF THIS DATA TO A FOREIGN OWNED, CONTROLLED OR INFLUENCED COMPANY IS DEPENDENT UPON THE APPROVAL OF THE FOREIGN DISCLOSURE OFFICE.NOTE TO ALL SUPPLY CHAIN PERSONNEL: THE ENGINEERING NOTES ARE PROVIDED ON AIR FORCE DRAWING 201416605, CAGE CODE 98747, AND ADVANCED ENGINEERING SUPPLEMENTAL ORDER(S) (AESO'S). THE HILL AFB FORM 462, ENGINEERING DATA REQUIREMENTS (ATTACHMENT A / ENGINEERING INSTRUCTIONS) ARE NO LONGER UTILIZED FOR LANDING GEAR AND WILL NOT BE PROVIDED. ALL PREVIOUS LANDING GEAR VERSIONS OF THE HILL AFB FORM 462 FOR THIS NATIONAL STOCK NUMBER (NSN) HAVE BEEN SUPERSEDED AND WILL NOT BE UTILIZED FOR MANUFACTURE OF THIS

COMPONENT/ASSEMBLY.

Page 3 of 3EDL Version 12Generated by PRPS using Jasper Reports on 08 May 2023

Statement of Work March 2021

PRESERVATION, PACKAGING & MARKING REQUIREMENTS

The contractor shall develop, implement and maintain the preservation, packaging and packing of all items to be delivered under the terms of this contract. Packaging procedures will be established in accordance with AFMCI 24-201, specifically Paragraph 3.7 and MIL-STD-2073-1, Standard Practice for Military Packaging, Packaging requirements are identified in the AFMC Form 158, Packaging Requirements submitted by the responsible packaging specialist. All “markings and labeling” of shipments shall conform to MIL-STD-129, DoD Standard Practice, Military Marking for Shipment and Storage. The contractor shall affix a completed DD Form 1574, Serviceable Tag-Materiel or DD Form 1574-1, Serviceable Label- Materiel to each unit pack or intermediate container and prime outer container(s). The tag or label will indicate the condition(s) of the materiel and to identify the individual article or contents, bundle, container to which they are securely attached.

INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES

(ISPM 15) REQUIREMENTS

The contractor shall use the wood packaging material regulation for international trade which describes Phytosanitary (including treatments) that have been approved for wood packaging material and provides for the approval of new or revised treatments. Use the latest revision of (ISPM 15), and the following statement complies with the United Nations-implemented restrictions on wood packaging material (WPM).

“This requirement is specifically concerned with invasive species such as pinewood nematode. WPM is defined as wood pallets, skids, load boards, pallet collars, wooden boxes, reels, dunnage, crates, frames, and cleats. The statement below cites the requirements in detail and covers lumber for building containers and pallets used for deliveries resulting in worldwide shipments (direct vendor deliveries, Air Logistics complex (ALC), Container Consolidation Points (CCP), Aerial Ports, Water Ports, or other DoD installations).

ELECTROSTATIC MATERIAL (When Applicable) The Contractor shall apply provisions of MIL-STD-2073-1, when identifying all solid-state devices and modules containing diodes, translators, integrated circuits and/or other microelectronic components sensitive to electrostatic forces. All such items shall be packaged IAW MIL-STD-2073-1 in conjunction with ANS/ESD S20.20, using electrostatic free barrier materials and shall clearly bear “Electrostatic Sensitive Device” labels IAW MIL-STD-129, Department of Defense Standard Practice Military Marking for Shipment and Storage.

PALLETIZED UNIT LOADS

The Contractor shall apply provisions and methods of MIL-STD-147, Palletized Unit Loads to contracts requiring the preparation and shipment of bonded palletized unit loads for DoD facilities when applicable.

SPECIALIZED SHIPPING CONTAINERS

The contractor shall apply provisions of MIL-STD-648, Department of Defense Design Criteria Standard, Specialized Shipping Containers. This standard establishes general design guidelines and associated tests for specialized shipping containers used by the Department of Defense. Definitive requirements for specific containers will be defined by the individual specification, acquisition, or task order. This standard is intended to be used as the basic reference document in all specifications and standards prescribing performance requirements to be applied to a specialized shipping container. Compliance with this intent is expected through normal application of the specification or standard preparation and revision processes.

Statement of Work (Cont)

HAZARDOUS MATERIALS (When Applicable) The contractor shall ensure Hazardous shipments comply with International Civil Aviation Organization (ICAO), U.S. Code of Federal Regulations (CFR) Title 49, International Air Transport Association (IATA) Dangerous Goods Regulation, International Maritime Dangerous Goods Code (IMDG, Annex 1), and AFMAN 24-604, Preparing Hazardous Materials for Military Air Shipments. Packaging shall meet “DOT specification or a United Nation (UN) specification ” manufactured in accordance with 49 CFR, Part 178 and the final packages assembled IAW 49 CFR, Parts 100-185 as applicable. A Competent Authority Approval (CAA) shall be acquired from the responsible Associate Administrator or other designated Department official to perform a function requiring prior consent under the Hazardous Material Regulation (HMR). Package(s) shall be marked IAW MIL-STD-129, DoD Standard Practice, Military Marking for Shipment and Storage.

The contractor shall affix a completed DD Form 1574, Serviceable Tag-Materiel or DD Form 1574-1, Serviceable Label- Materiel to each unit pack or intermediate container and prime outer container(s). The tag or label will indicate the condition(s) of the materiel and to identify the individual article or contents, bundle, container to which they are securely attached. If a symbol is used to represent the manufacturer or the approval agency certifying compliance with 49 CFR 178, subparts L and M, the symbol must be registered with the U.S. Department of Transportation. A copy of the Contractor’s Test Report and signed certification that the package configuration meets both CFR and UN requirements shall be made available to the procuring contract office, as required, prior to acceptance or shipment of any portion of the product IAW Contract Data Requirements List (CDRL DI-PACK-81059B) (Reference AFMC Form 158). Safety Data Sheets (SDS) are required for known hazardous items and applicable items shown in FED-STD-313, Tables I and II. The SDS shall have any applicable identification number, such as National Stock Number or Special Item Number. A copy of the SDS shall be mailed or e-mailed no later than five (5) days prior to contractual delivery of items:

FAR clause 52.223-3, Hazardous Material Identification and Material Safety Data

SPECIAL PACKAGING INSTRUCTIONS RETRIEVAL & EXCHANGE SYSTEM

(SPIRES)

Contractors may request the use of SPIRES website to view item packaging requirements or search for Special Packaging Instruction drawings via the following website: https://spires.wpafb.af.mil/

REUSABLE CONTAINERS

The contractor shall safeguard all received reusable shipping containers that meet the requirements of the AFMC Form 158 and are suitable for return shipment of serviceable assets. The contractor shall dispose of and replace unserviceable containers with new containers that meet requirements of the AFMC Form 158.

Contact the Product Support Manager and Administering Contracting Office (ACO) for disposition instructions and replacement when Long Life Reusable Container(s) are received in an unserviceable condition.

https://spires.wpafb.af.mil/

REPORTING DISCREPANCIES

The contractor shall use Web Supply Discrepancy Report (WebSDR) to submit/reply to a Supply Discrepancy Report (SDR), when improperly packed assets are received/shipped in other than the contracted packaging requirements (coded data or Special Packaging Instructions (SPI) drawings) from Department of Defense (DoD) components or contractor activities. The contractor shall request a WebSDR account via the following website: https://www.transactionservices.dla.mil/daashome/homepage.asp

(See Defense Logistics Management (DLM) 4000.25-M, Volume 2, Supply Standard and Procedures, Chapter 17, Supply Discrepancy Reporting) http://www.dla.mil/HQ/InformationOperations/DLMS/

Exceptions when no damage has occurred are as follows:

- Items packaged before the current SPIdate.

- An alternate pack may be used, provided the prime Air Force Sustainment Complex, Packaging Office at the Air Logistics Complex (ALC) approves and issues a waiver, deviation number, which would be annotated on the exterior container on the lower right hand portion of the identification side of thecontainer.

- In accordance with Technical Order (TO) 00-85B-3, How to Package Air Force Spares, the contractor may substitute the next larger size fast pack, of the type I or type II to ship transportation priorities 1 and 2 shipments as long as there is no decrease in any of the container dimensions without the requirement of a waiver deviation. TO 00- 85B-3, para 4.2 can be accessed via the website:

- https://www.tinker.af.mil/Portals/106/Documents/Technical%20Orders/AFD-082416-00-85B-3.pdf

ASSIST Documents for Specifications Listed in the GSA Index of Federal Specifications, Standards and Commercial Item Descriptions The contractor shall use the ASSIST website to access specification, standards, data item descriptions documents listed in this contract solicitation:

FAR 52-211-2 Availability of Specifications, Standards, and Data Item Descriptions listed in the Acquisition Streamlining and Standardization Information System https://quicksearch.dla.mil/

AFSC

406 SCMS/GULAA

Attn:

DSN:

COMM:

E-mail:

DAVID GIBSON

801-777-0987

801-777-0987 david.gibson.29@us.af.ml https://www.transactionservices.dla.mil/daashome/homepage.asp http://www.dla.mil/HQ/InformationOperations/DLMS/ https://www.tinker.af.mil/Portals/106/Documents/Technical%20Orders/AFD-082416-00-85B-3.pdf https://quicksearch.dla.mil/%23/

APPLICABLE GOVERNMENT PACKAGING DOCUMENTS

NOTE: UTILIZE THE MOST RECENT REVISION

AFI 24-602V2_AFGM2018-01, Preparation and Movement of Air Force Cargo

AFMAN 24-604, Preparing Hazardous Materials for Military Air Shipments

DLMS 4000.25, Defense Logistics Management Systems, Volume 2, Change 10, Supply Standards and Procedures, Chapter 17, Supply Discrepancy Reporting

DOT Title 29, Occupational Safety and Health Administration, Labor

DOT Title 49, Code of Federal Regulations (49 CFR), Transportation

International Civil Aviation Organization (ICAO) Technical Instructions

International Air Transport Association (IATA) Dangerous Goods Regulation

International Maritime Dangerous Goods (IMDG) Code

ISPM 15, International Standard Phytosanitary Measure Note: Marking Requirements may be found in the American Lumber Standards Committee, Incorporated Wood Packaging Material Enforcement Regulations dated November 07, 2014 and ISPM 15.

MIL-STD-2073-1E, Change 4, Standard Practice, for Military Packaging

MIL-STD-129R, Change 1, Department of Defense Standard Practice Military Marking for Shipment and Storage

MIL-STD-648E, Department of Defense Design Criteria Standard, Specialized Shipping Containers

MIL-STD-147E, Change 1, Palletized Unit Loads

MIL-HDBK-773B, Electrostatic Discharge Protective Packaging

TO 00-85B-3, How to Package Air Force Spares

FED-STD-313E, Federal Standard: Material Safety Data, Transportation Data and Disposal Data for Hazardous Materials Furnished to Government Activities

Statement of Work (Cont)

HAZARDOUS MATERIALS (When Applicable)

SPECIAL PACKAGING INSTRUCTIONS RETRIEVAL & EXCHANGE SYSTEM (SPIRES)

REUSABLE CONTAINERS

Statement of Work (Cont)

REPORTING DISCREPANCIES

Exceptions when no damage has occurred are as follows:

ASSIST Documents for Specifications Listed in the GSA Index of Federal Specifications, Standards and Commercial Item Descriptions

AFSC

Statement of Work (Cont)

MANUFACTURING QUALIFICATION REQUIREMENTS

NSN: 1650-01-642-8153

P/N: 201309302-101 Noun: DOWNLOCK ACTUATOR ASSEMBLY, PUSH PULL, F-16 MLG DRAG BRACE Application: F-16

3 Jun 2021 Section C 1/3

SECTION C:

1. QUALIFICATION REQUIREMENTS THAT MUST BE SATISFIED TO BECOME A QUALIFIED SOURCE

a. Prequalification Notice/Sources Sought: The offeror shall notify the appropriate government Small Business Office or, if responding to a solicitation, the contracting officer in the appropriate government contracting office, of intent to qualify as a source for this DOWNLOCK ACTUATOR

ASSEMBLY, PUSH PULL, F-16 MLG DRAG BRACE.

b. Facilities, Testing, and Inspection Capabilities: The offeror must certify to the government that they have, or have access to, the required facilities and equipment to manufacture, inspect, test, package, and store the item. The offeror shall make their facilities, equipment, tooling, and personnel available for evaluation and inspection by the government.

c. Data Verification: The offeror must verify that he has a complete data package. This verification must include a complete list of all procedures, drawings, and specifications, including change notices, in the offeror’s possession. The offeror may also be required to produce copies of all applicable procedures, drawings, or specifications.

d. Manufacture/Process Verification: The offeror must manufacture this item to conform to the government requirements as prescribed within the ESA-approved engineering/technical data package. The offeror must show compliance with Unique Identification (UID) requirements in accordance with DFARS 211.274 as prescribed within the ESA-approved engineering/technical data package. The offeror must provide, at their own expense, data showing the results of all quality, performance, and environmental evaluations conducted by the offeror to show compliance with the government requirements as prescribed by 417 SCMS/GUEA. The offeror shall also identify its sources for materials and its standards for internally used processes. The offeror must also provide evidence in the form of a management process in which they will manage Critical Safety Items (CSIs) and all of the critical characteristics and critical safety processes.

e. Test and Evaluation and/or Verification: The offeror, at their own expense, shall prepare and submit to 417 SCMS/GUEA for their prior approval, a qualification test plan/procedure detailing how they intend to verify compliance with all performance, environmental, mechanical, and quality assurance requirements identified by Drawing 201309302. After completion of the approved qualification testing, the offeror shall be required to submit a complete test report of the results to 417 SCMS/GUEA for their review and approval prior to the contract award. The government retains the right to exercise the option to inspect the testing processes, including on-site witnessing of any or all documented testing. To allow accomplishing this, the offeror shall notify the government at least 30 days in advance of the occurrence of any testing that will be used as a basis for qualification. The offeror’s facilities shall be made available for government inspection during these tests.

P/N: 201309302-101

3 Jun 2021 Section C 2/3

f. Qualification Article Verification: The offeror must provide, at their own expense, a pre-contract award qualification article for evaluation by the government. This article must comply with all of the requirements of Drawing 201309302. This article shall be subjected to a form, fit, and function evaluation to demonstrate compatibility with the weapon system and to evaluate the manufacturing capability of the offeror. Offerors will be notified whether or not their qualification article passed or failed the required qualification testing within 120 days of submitting a product for qualification testing. Note that successful completion of the qualification testing does not guarantee any contract award. If the offeror is deemed qualified and awarded the contract, a post-contract award first article exhibit may be required to verify production capability.

g. Qualification Requirement Cost Estimate: Estimated likely costs for testing and evaluation, which will be incurred by the potential offering party to become qualified: $5265.

h. Qualification Time Completion Estimate: It is the estimate of the engineering support activity that completion of this qualification effort should require 365 days. This is based on complexity of the DOWNLOCK ACTUATOR ASSEMBLY, PUSH PULL, F-16 MLG DRAG BRACE and other factors.

i. Qualification Time Limitation: An offeror may not be denied the opportunity to submit and have considered an offer for a contract if the offeror can demonstrate to the satisfaction of the contracting officer that the offeror (or its product) meets these standards for qualification or can meet them before the date specified for award of the contract. The award will not be delayed to provide the vendor with an opportunity to demonstrate its ability to meet the standards specified in this qualification requirement.

j. Evaluation of Proposals Not Previously Qualified: The offeror must be fully qualified in order to be eligible for a contract award. Therefore, the offeror must fulfill all of the requirements stated, in writing, in the qualification requirement before the date specified for award of the contract. Once all requirements are met, the offeror will be listed as an approved source for this item. Approval, however, does not guarantee subsequent contract award.

P/N: 201309302-101

3 Jun 2021 Section C 3/3

2. SOURCE QUALIFICATION WAIVER REQUIREMENTS

Sources who meet any of the following source Qualification Waiver Criteria (QWC) may apply for a waiver of all or part of the qualification requirements. If a waiver is granted and the offeror is awarded a contract, the offeror may still be required to provide a post-contract award first article exhibit to verify production capability:

a. QWC1: The potential source submits written certification that the articles have been supplied to the government or original equipment manufacturer (e.g., DD Form 250, Material Inspection and Receiving Report, Purchase Order invoice, etc).

b. QWC2: A source qualified to provide an assembly is usually qualified to provide subassemblies, major components, and items of that assembly.

c. QWC3: A source qualified to provide a similar or like item can be qualified to provide the required item. However, for approval, the engineering authority must verify that there is no increase in complexity, criticality, or other requirements over that of the similar item. At a minimum, the source shall provide a complete set of drawings for the similar item and written proof, such as purchase orders, shipping documents, etc., to show that the similar item was provided to the original equipment manufacturer or DoD.

d. QWC4: A source previously qualified to provide an item, but which has been purchased, sold, merged, absorbed, reformed, split, etc., may qualify if it can be established that the qualification is currently with the requester and that the requester has the same or equivalent facilities, tooling, equipment, personnel, and utilizes the original forging, castings, etc., in the manufacturing process.

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE J. DATE

Page of Pages

A

First Article

1. DATA ITEM NO.

Test/Inspection Reports Government Testing

DI-NDTI-80809B 417 SCMS/CL

LT

B

Per contract reqs

Per contract reqs

Preferred method of 1

0 1 0

1. BLOCK 4: Contractor format acceptable. Paragraph 10.2.3.3 of DI-NDTI-80809B is clarified as follows:

a. All dimensions and tolerances specified on the manufacturing data shall be listed in one column with the actual corresponding reading obtained from the inspection of the parts listed in another column.

b. Materials utilized in the manufacture of the "First Article" item shall be identified and certified along with a copy of material purchase requests as conforming to applicable data requirements.

c. Material processing, including finish requirements (plating, heat treatment, welding, inspecting, anodize, painting, etc.) utilized in the manufacture of the "First Article" item shall be identified and certified as conforming to applicable requirements. A copy of the purchase order certifying the process accomplished at other than contractor facility shall be included.

d. Other requirements as called out with the Technical Data Package.

2. BLOCK 9: Distribution authorized to U.S. Government Agencies only, test and evaluation, 21 Jun 2021. Other requests for this document shall be referred to 417

SCMS.

3. BLOCKS 10, 11, 12, and 13: Report to assist in the "First Article" testing by the Air Force shall be submitted concurrently with the "First Article" item.

FOB: DESTINATION

INSPECTION/ACCEPTANCE: DESTINATION

NSP

0.00

Lori Grygier Lead IM, 417 SCMS/GUMD

1 1 shipping to include test report in First Article container:

FB2029

809 MXSS/MXDEB

Bldg. 849 Attn:

Non Accountable Bay Hill AFB, UT 84056-5713

01/17/2023 01/17/2023

MARTIN.BRAD

.H.1256609564

Digitally signed by

MARTIN.BRAD.H.1256609564

Date: 2023.01.17 13:56:12 -07'00'

Text1: FD20202300442

Text2: 0001

Text3:

Text4: