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REPORT OF GOVERNMENT OWNED, CONTRACTOR HELD

PROPERTY

CONTRACTOR: CONTRACT NUMBER

ADDRESS REPORT DATE:

FISCAL YEAR:

CLASSIFICATION BEGINNING OF

PERIOD

ADJUSTMENTS END OF PERIOD

#ITEMS VALUE GFP ADDED CAP ADDED DELETIONS #ITEMS VALUE

LAND>=$25K

LAND<$25K

OTHER REAL>=$25K

OTHER REAL<$25K

PROPERTY UNDER

CONST>=$25K

PROPERTY UNDER

CONST<$25K

PLANT EQUIP>=$25K

PLANT EQUIP<$25K

SPECIAL TOOLING >= $25K

SPECIAL TOOLING<$25K

SPECIAL TEST

EQUIP>=$25K

SPECIAL TEST EQUIP<$25K

AGENCY PECULIAR>=$25K

AGENCY PECULIAR<$25K

MATERIAL>=$25K

(CUMULATIVE)

PROPERTY UNDER

MFR>=$25K

PROPERTY UNDER

MFR<$25K

SIGNED BY:

(SIGNATURE)

(NAME PRINTED)

(TITLE)

DATE SIGNED:

(TELEPHONE)

Report of Government Owned, Contractor Held Property (Rev 3/2008)

Report of Government Owned, Contractor Held Property (Rev 3/2008)

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