Attachment 4 - Report Govt Owned Contractor Held Property.pdf
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REPORT OF GOVERNMENT OWNED, CONTRACTOR HELD PROPERTY
CONTRACTOR: CONTRACT NUMBER:
ADDRESS: REPORT DATE:
ADDRESS1:
ADDRESS2: FISCAL YEAR:
CITY:
STATE:
ZIP:
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 DATE SIGNED:
NAME PRINTED Email
TITLE TELEPHONE
Report of Government Owned, Contractor Held Property (Rev 10/2014)
| CONTRACTOR: |
| CONTRACT NUMBER: |
| ITEMSLAND 25K: |
| VALUELAND 25K: |
| GFP ADDEDLAND 25K: |
| CAP ADDEDLAND 25K: |
| DELETIONSLAND 25K: |
| ITEMSLAND 25K_2: |
| VALUELAND 25K_2: |
| ITEMSLAND 25K_3: |
| VALUELAND 25K_3: |
| GFP ADDEDLAND 25K_2: |
| CAP ADDEDLAND 25K_2: |
| DELETIONSLAND 25K_2: |
| ITEMSLAND 25K_4: |
| VALUELAND 25K_4: |
| ITEMSOTHER REAL 25K: |
| VALUEOTHER REAL 25K: |
| GFP ADDEDOTHER REAL 25K: |
| CAP ADDEDOTHER REAL 25K: |
| DELETIONSOTHER REAL 25K: |
| ITEMSOTHER REAL 25K_2: |
| VALUEOTHER REAL 25K_2: |
| ITEMSOTHER REAL 25K_3: |
| VALUEOTHER REAL 25K_3: |
| GFP ADDEDOTHER REAL 25K_2: |
| CAP ADDEDOTHER REAL 25K_2: |
| DELETIONSOTHER REAL 25K_2: |
| ITEMSOTHER REAL 25K_4: |
| VALUEOTHER REAL 25K_4: |
| ITEMSPROPERTY UNDER CONST 25K: |
| VALUEPROPERTY UNDER CONST 25K: |
| GFP ADDEDPROPERTY UNDER CONST 25K: |
| CAP ADDEDPROPERTY UNDER CONST 25K: |
| DELETIONSPROPERTY UNDER CONST 25K: |
| ITEMSPROPERTY UNDER CONST 25K_2: |
| VALUEPROPERTY UNDER CONST 25K_2: |
| ITEMSPROPERTY UNDER CONST 25K_3: |
| VALUEPROPERTY UNDER CONST 25K_3: |
| GFP ADDEDPROPERTY UNDER CONST 25K_2: |
| CAP ADDEDPROPERTY UNDER CONST 25K_2: |
| DELETIONSPROPERTY UNDER CONST 25K_2: |
| ITEMSPROPERTY UNDER CONST 25K_4: |
| VALUEPROPERTY UNDER CONST 25K_4: |
| ITEMSPLANT EQUIP 25K: |
| VALUEPLANT EQUIP 25K: |
| GFP ADDEDPLANT EQUIP 25K: |
| CAP ADDEDPLANT EQUIP 25K: |
| DELETIONSPLANT EQUIP 25K: |
| ITEMSPLANT EQUIP 25K_2: |
| VALUEPLANT EQUIP 25K_2: |
| ITEMSPLANT EQUIP 25K_3: |
| VALUEPLANT EQUIP 25K_3: |
| GFP ADDEDPLANT EQUIP 25K_2: |
| CAP ADDEDPLANT EQUIP 25K_2: |
| DELETIONSPLANT EQUIP 25K_2: |
| ITEMSPLANT EQUIP 25K_4: |
| VALUEPLANT EQUIP 25K_4: |
| ITEMSSPECIAL TOOLING 25K: |
| VALUESPECIAL TOOLING 25K: |
| GFP ADDEDSPECIAL TOOLING 25K: |
| CAP ADDEDSPECIAL TOOLING 25K: |
| DELETIONSSPECIAL TOOLING 25K: |
| ITEMSSPECIAL TOOLING 25K_2: |
| VALUESPECIAL TOOLING 25K_2: |
| ITEMSSPECIAL TOOLING 25K_3: |
| VALUESPECIAL TOOLING 25K_3: |
| GFP ADDEDSPECIAL TOOLING 25K_2: |
| CAP ADDEDSPECIAL TOOLING 25K_2: |
| DELETIONSSPECIAL TOOLING 25K_2: |
| ITEMSSPECIAL TOOLING 25K_4: |
| VALUESPECIAL TOOLING 25K_4: |
| ITEMSSPECIAL TEST EQUIP 25K: |
| VALUESPECIAL TEST EQUIP 25K: |
| GFP ADDEDSPECIAL TEST EQUIP 25K: |
| CAP ADDEDSPECIAL TEST EQUIP 25K: |
| DELETIONSSPECIAL TEST EQUIP 25K: |
| ITEMSSPECIAL TEST EQUIP 25K_2: |
| VALUESPECIAL TEST EQUIP 25K_2: |
| ITEMSSPECIAL TEST EQUIP 25K_3: |
| VALUESPECIAL TEST EQUIP 25K_3: |
| GFP ADDEDSPECIAL TEST EQUIP 25K_2: |
| CAP ADDEDSPECIAL TEST EQUIP 25K_2: |
| DELETIONSSPECIAL TEST EQUIP 25K_2: |
| ITEMSSPECIAL TEST EQUIP 25K_4: |
| VALUESPECIAL TEST EQUIP 25K_4: |
| ITEMSAGENCY PECULIAR 25K: |
| VALUEAGENCY PECULIAR 25K: |
| GFP ADDEDAGENCY PECULIAR 25K: |
| CAP ADDEDAGENCY PECULIAR 25K: |
| DELETIONSAGENCY PECULIAR 25K: |
| ITEMSAGENCY PECULIAR 25K_2: |
| VALUEAGENCY PECULIAR 25K_2: |
| ITEMSAGENCY PECULIAR 25K_3: |
| VALUEAGENCY PECULIAR 25K_3: |
| GFP ADDEDAGENCY PECULIAR 25K_2: |
| CAP ADDEDAGENCY PECULIAR 25K_2: |
| DELETIONSAGENCY PECULIAR 25K_2: |
| ITEMSAGENCY PECULIAR 25K_4: |
| VALUEAGENCY PECULIAR 25K_4: |
| ITEMSMATERIAL 25K CUMULATIVE: |
| VALUEMATERIAL 25K CUMULATIVE: |
| ITEMSMATERIAL 25K CUMULATIVE_2: |
| VALUEMATERIAL 25K CUMULATIVE_2: |
| ITEMSPROPERTY UNDER MFR 25K: |
| VALUEPROPERTY UNDER MFR 25K: |
| ITEMSPROPERTY UNDER MFR 25K_2: |
| VALUEPROPERTY UNDER MFR 25K_2: |
| ITEMSPROPERTY UNDER MFR 25K_3: |
| VALUEPROPERTY UNDER MFR 25K_3: |
| ITEMSPROPERTY UNDER MFR 25K_4: |
| VALUEPROPERTY UNDER MFR 25K_4: |
| SIGNATURE: |
| DATE SIGNED: |
| NAME PRINTED: |
| Email: |
| TITLE: |
| TELEPHONE: |
| FISCAL YEAR: |
| ADDRESS1: |
| ADDRESS2: |
| CITY: |
| STATE: |
| ZIP: |
| REPORT DATE: |
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