Attachment_J.11_A028_-_Floor_to_Book_Report.pdf

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Distribution Warehouse Services - DLA Distribution Hill, UT
Solicitation number
SP330016R5004
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Attachment J.11 A028 Floor to Book Report

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Text version

DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

Form Approved OMB 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 the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

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

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

1. DATA ITEM NO. 2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

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

Page of Pages

Totall F2B Counts Required

(Generated by DLA Distribution J3-OC)

Number of F2B Counts Completed

Total # F2B Counts Matching QBL Balance

Total # F2B Counts w/ Discrepancy Resulting in

(TPIC M)

Total # Adjustments resulting from (TPIC

M)

Dollar Value of Adjustments

January

Februray

March

April

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Attachment 1

DD__ Monthly Floor to Book Status Report Month: ________________

Count Adjustment Date NSN Quantity Adjusted Adjustment Total $

1_DATA_ITEM_NO: A028
2_TITLE_OF_DATA_ITEM: Floor to Book Report
3_SUBTITLE:
4_AUTHORITY_Data_Acquisit: N/A
5_CONTRACT_REFERENCE: Attachment J.1 Paragraph 5.4.1
6_REQUIRING_OFFICE: DLA Distribution J-7
7_DID_250_REQ: See Block 16
8_APP_CODE:
DIST_STATEMENT: B
10_FREQUENCY: See Block 16
11_AS_OF_DATE: N/A
12_DATE_OF_FIRST_SUBMISSI: See Block 16
13_DATE_OF_SUBSEQUENT_SUB: See Block 16
addressee1: J-7 Contract Spec
draft1:
reg1:
repro1: 1
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total_draft: 0
total_repro: 1
16_REMARKS: Submit electronically.

Submit the information identified in the Attachments 1 and 2 on a monthly basis by the 5th calendar day of the month.

Block 7: Inspection and acceptance requirements:

The COR will review and provide acceptance after review and comments.

Block 14: Distribution - Contractor to submit to COR and copy to the Contract Specialist.

Block I - Approved By - Signature of Government official accepting the Contractor's reporting requirement of this CDRL will be the the COR.

17_PRICE_GROUP:
ESTIMATED_TOTAL_PRICE:
G_PREPARED_BY:
H_DATE:
1_APPROVED_BY:
J_DATE:
Page: 1
reg38t: 1
A_CONTRACT_LINE_ITEM_NO: X007
B_EXHIBIT: Attachment J.11
TDP:
TM:
OTHER:
DSYSTEMITEM:
E_CONTRACTPR_NO:
FCONTRACTOR:
of_pages: 1
Reset:
2016-08-12T13:35:11-0400
CRUSEY.SHANE.M.1287981151
2016-08-12T14:50:32-0400
ALLEN.JON.S.1229128937

File details come from the government source that posted it. Updated .