D1_M00681-19-Q-0018_Attachment_(3)_Sample_Repair_Ticket.pdf

Consolidated Materials and Service Center

Bldg 22105

MCB, Camp PendletonTicket# 1 Date From: CMSC Camp Pendleton

To: Company/vendor Name Attn: Point of Contact Vendor Contract#: M00681-##-#-#### Delivery Order: M00681-##-#-####

1. Request the following repair(s) listed below be accomplished in accordance with contract.

BLDG#: #####

Deck Machine Serial # Problem / Action requested

# W or D ###### problem with Machine

# W or D ###### problem with Machine

DATE OF REPAIR :

SERIAL # REMARKS

UNIT POC SIGNATURE: ______________________ CONTRACTOR SIGNATURE: ______________________

PRINT NAME OF POC: __________________________

2. Point of contact at CMSC is Mr. Francisco Gonzalez @ 760-725-4169. Organizational mail box:

PNDL_CAMPEN_CMSC_PJWD@USMC.MIL.

POC: I. Am. Marine, Marine unit, Phone number and or Cell