CDRL 0004 WORK ORDER.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved

(1 Data Item) 0MB 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 Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no i:::rson shall be subject to any penalty for failing to com� with a collection of information if it does not display a currenUy valid 0MB control number. Please DO NOT RETURN your rm to the above address. Send completed form to the ovemment Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

CDRL0004 TOP TM

OTHER

I

E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO.

D.SYSTEMnTEM Material Handling Equipment

2.TITLE OF DATA ITEM 3. SUBTITLE

0001 MHE Work Order

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE 8. REQUIRING OFFICE

sow Para 6.6 N32205 7.DD 250 REQ 9. DIST STATEMENT 10. FREQUENCY 12. DATE OF FIRST SUBMISSION 14. DISTRIBUTION

REQUIRED

NIA As Required As Required b.COPIES

B.APPCODE 11. AS OF DATE 13. DATE OF SUBSEQUENT a. ADDRESSEE Final NIA SUBMISSION Draft

As Required As Required Reg Repro

18.REMARKS MHE HELP DESK

Service provider shall submit an itemized list of all maintenance that was performed

MSC MHEOHE®US.NA VY.MIL

including parts with associated cost on each forklift/pallet jack asset to Military Sealift Command, Norfolk, VA. (CORL 0004).

15. TOTAL

G. PREPARED BY H.DATE I. APPROVED BY J. DATE

DD FORM 1423-1, AUG 96 (EG) PREVIOUS EDITION MAY BE USED. Page_1_of 1 Pages Designed using Perform Pro, WHSloiOR, Aug 96

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE