Exh_C_CDRLS_FMS.pdf

CONTRACT DATA REQUIREMENTS LIST Form Approved CM8 No. 0704-0188

PM bl.le rq,ortillg b"rdm/or tltb c.olltttk>n of information i1 otlmuttd to trVerugr. / JO ltOMn pa rupo1u� Ulcbulbt1 tlte ti�/or rniifWl1tg btstr11t:lkHls, sr.ordtbtf WJIUl1 dal.a so,,rca, 1a1Jurut11Utd mabtla.J.nutg tit, dalt1 nud1d, ud compldi11g OAd rninring tlu coll«rio1t (Jj lnformarlon. SOid t:OrnnN!nts rqardi1111llis b11rdut otlmat, or OAJ otlttr 0$/Jttl lJ/ tills aJl«zlon of bt/otmatlon, l11Wldi.ng s,1ggant»tJ fur rtdututg tllb lu,mlen to Dqxutmaar of JJr./r.llSe., WAJliingron lltod911JUtm Sn,·ku, Oit«1ora1.t/or ln/ormutlon ()fNraJlo,u and Rq,o,ts. 11/S Jef/trJOlt /),n·i.J lligl,,M'Of, &11, 121H, Arllnxton., YA 111201-2102. and to tl,r. 0/fl« o/ lttwt4gc�nl and &dgn, PapC'.nw,rA Rrd11ctkHt Ptojttt (07(U..QJ8&), Wa,l,Ulzton, JX: 10SOJ. P(tr,1,U DO NOT RETURN ym,r form to dtJ,r:r of that oddrma. Surd comphltd/orm to tlte G'unr,o.wnt Jm,,lng Contradi111 Offeu, for 111, <.Ontraa. PR No. lbttd ut IJl«A E. A. Contract Line Item No. I B. Exhibit C I C. Category D. System/Item. E. ContracVPR NO. F. Contractor Fl 00-220 6th - 121h Stage Stator and 4th - 5th Stage Shrouds FD2030-17-31162

I. Data Item No. I 2. Tille of Data Item: 3. Subtitle:

A006 Status Report for Contractor Receipt/Shipment of FMS R/R4. Authority (Data Acquisition Document No.) 5. Contract Reference I 6. Requiring Office Dl-MISC-80915 AFLCMC/LPSIB

7. DD 250 Req I. Dist Statement Required I 0. Frequency 12. [)ale of First Submission 14. Distribution NIA NIA Monthly See Block 168. APPCode II. As of Date 13. Date ofSubse<Juenl Submission a. Addressee b. Copies NIA See Block 16 See Block 16 D Final r a f

I Reg Repro 16. REMARKS

BLOCK 4: DID IS TAILORED AS FOLLOWS: AFLCMC/LPSIB I

THE CONTRACTOR SHALL PREPARE AND FURNISH A MONTHLY CUMULATIVE DCMNACO

STATUS REPORT FOR ALL ITEMS THAT HA VE BEEN RECEIVED FOR REPAIR. THE

REPORT SHALL BE PREPARED AS OF THE LAST WORKING DAY OF EACH MONTH

AND FORWARDED BY E-MAIL OR FAXED NO LATER THAN THE 5TH WORKlNG DAY

OF THE FOLLOWING MONTH. THE INITIAL REPORT WILL BE PREPARED FOR THE

MONTH DURJNG WHICH THE CONTRACT ASSETS ARE RECEIVED. REPORTS WILL

CONTINUE TO BE FORWARDED UNTIL ALL END ITEMS ARE REPAIRED. THE LAST

REPORT WILL BE ANNOTATED "FINAL REPORT". NEGATIVE REPORTS ARE

REQUIRED.

CONTRACTOR'S FORMAT IS ACCEPTABLE.

NOTE: THJS REPORT SHOULD REFLECT THE APPLICABLE COUNTRY, ITEM PART

NUMBER, NATIONAL STOCK NUMBER, SERJAL NUMBER, NOMENCLATURE, DATE

RECEIVED, DOCUMENT NUMBER, DATE INPUT INTO WORK, EXHIBIT LINE ITEM

NUMBER, FORECAST COMPLETION DATE AND SHIP DATE OF SERVICEABLE ASSET.

REPORT IS TO BE FURNISHED JN EITHER NATIONAL STOCK NUMBER OR PART

NUMBER SEQUENCE. SCRAPPED ITEMS REQUIRE REASON FOR SCRAP AND T.O.

REFERENCE.

CALL FOR E-MAIL ADDRESS: 405-739-3433 (LPSIB).

� 15. TOTAL 2 I I

G. l'REP11h H. DATE I.APP�l�"

/ J. DATE

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DD Form 1423-l,JUN90 Previous ed111ons are obsolete Page _I_ of _LPagcs

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