SPRTA1-26-Q-0127.pdf

For the best experience, open this PDF portfolio in

Acrobat X or Adobe Reader X, or later.

Get Adobe Reader Now!

http://www.adobe.com/go/reader

������ ����������������� � ���������������������� !�"#$%&'�()*�(�*�(+*��,,-%"��$&�$."��&--&/%'01�����2����2��3���� ���2���3'�'�4� ��5�6 75.� 8"��%&'�'9:;"��'&9'�"�8&#<-%'�"�%'%$%�$&�/=+>+?@A�;BC?> &�0�'%D�$%&'�#&�"�E�&��%#"��<:;&-5�!��#:��E�09"�#&::"�#%�-�,.&'"5 �F�6�F�5 ! ��'�,.&'"6��F�5 !��3��G�2� �2��������H�2 �6�6�E��$IF7�E�!�9F!�6�� 4�E�! ! F� �6�� 4�E�! ! F� !6�7�6�E�5�6F� 4 F���2���3����� �H��J�2

����M�� MNOP:��I%'0�09%��'#""?@+?CCB+?@��BQR+?@�E�"#,�E�"#& "'0%'""�%'0����/%'0�E�"#,�E�"#&�'9:;"�� � # 445F$:��I%'0�$<," :��I%'0�:"$.&��"�#�%,$%&'�E�-&#�$%&'�":��I��$$�#.:"'$(�*! ! S6�� 4S� � # 445F$�TUV������H� � �������"#$%&'�()*�(�*�(+++*��,,-%"��$&�$."��&--&/%'01'�' '&9'��3��G�2� �2��������H�2%$":�%���'�":;"��"��%$":��&��'�'�E�,�"9�&�'�'1�4� ��5�6 75.�:��I%'0�09%��'#" "'0%'""�%'0����/%'0�E�"#,�E�"#&�'9:;"�:��I%'0�$<," :��I%'0�:"$.&��"�#�%,$%&'�E�-&#�$%&'�":��I��$$�#.:"'$(�*

,Q@C���WV��%9%� 8CBX+W?��0C?CBQ>CU�YZ�,�,��[X+?@�\QXTCB��CTWB>X�W?�7��CT�� ��

ITEM UNIQUE IDENTIFICATION (IUID) CHECKLIST

I. IUID DETAILS: DFARS 252.211.7003

SECTION (c) (1) (i) APPLIES TO THE FOLLOWING:

ITEM REQUIRING IUID MARKING

NSN

1650016841629HS

VERSION NUMBER

NOUN

RUDDER,SPECIAL

INITIATOR

Whiting, Brent K

ORGANIZATION CODE / OFFICE SYMBOL

423 SCMS / GUEAA

COMMERCIAL PHONE

405-582-5403

DSN PHONE

852-5403

CAGE / REFERENCE NUMBER

MARKING IS TO BE PERFORMED IN ACCORDANCE WITH THE LATEST VERSION OF MIL-STD-130

MARKING GUIDANCE

Engineering Drawing / ECP / ECO

ENGINEERING DRAWING / ECP / ECO NUMBER

2010C0664

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

Whiting, Brent KNAME: 12 AUG 2025DATE:

Label with location per USAF ECO 2010C0664 associated with DWG 300300 CAGE 82106 and method per DWG 200733803-07 and MIL-STD-130, is acceptable by similarity to 300300-1003 configuration.

ATTACHMENT(S)

II. EMBEDDED ITEMS

SECTION (c) (1) (iii) APPLIES TO THE FOLLOWING:

NSN NOUN

CAGE / REFERENCE NUMBER

ITEM IS AN EMBEDDED ITEM FOR NSN / PSEUDO NSN: 1650016841629HS

MARKING GUIDANCE ENGINEERING DRAWING / ECP / ECO NUMBER

MARKING TYPE MARKING METHOD

DESCRIPTION / LOCATION

REMARKS

ATTACHMENT(S)

Page 1 of 1IUID Version 1Generated by PRPS using Jasper Reports on 10 Oct 2025

848TH SUPPLY CHAIN MANAGEMENT GROUP (SCMG)

MANUFACTURING QUALIFICATION REQUIREMENTS (MQR)

FOR COMMODITY CRITICAL SAFETY ITEMS (CSI) AND CRITICAL APPLICATION ITEMS (CAI)

AUGUST 2020

1. OVERVIEW

1.1 This Manufacturing Qualification Requirement (MQR) applies to Air Force Sustainment Center (AFSC) commodity items managed by the 848th Supply Chain Management Group (848 SCMG) that are Critical Safety Item (CSI) and Critical Application Items (CAI) and are listed in the 848 SCMG, Master Item List. CSI and CAI definitions may be found in Air Force Material Command Instruction (AFMCI) 23-113, Pre-Award Qualification of New or Additional Parts Sources and the use of the Source Approval Request (SAR) and Air Force Instruction (AFI) 20-106, Management of Aviation Critical Safety Items.

848 SCMG Master Item List:

https://org2.eis.af.mil/sites/22666/848%20SCMG%20MQRs/848%20SCMG%20Manufacturing %20Qualification%20Requirements

Air Force Publishing Website: https://www.e-publishing.af.mil/

1.2 The intent of this MQR is to meet the requirements of Operational Safety, Suitability, and Effectiveness (OSS&E) and AFMCI 23-113. This MQR is to be used in conjunction with the Joint Aeronautical Commander's Group (JACG) Aviation Source Approval and Management (SAM) Handbook (Naval Air Systems Command (NAVAIR) 11-514) and the Joint Aeronautical Logistics Commanders’ Aviation Critical Safety Item Management Handbook (Defense Logistics Agency (DLA) Instruction (DLAI) 3200.4). Should a conflict exist between this MQR and official published guidance (e.g., AFIs, AFMCIs, NAVAIR 11-514, Federal Regulations, etc.), subject official published guidance shall take precedence. Link to 848 MQR:

https://org2.eis.af.mil/sites/22666/848%20SCMG%20MQRs/848%20SCMG%20Manufactu ring%20Qualification%20Requirements

1.3 Source approval requests for items managed by the Defense Logistics Agency (DLA) are processed in accordance with (IAW) the JACG SAM Handbook and are not applicable to this MQR (See also, AFMCI 23-113).

1.4 This MQR helps clarify requirements governed by AFMCI 23-113 and Federal Acquisition Regulation (FAR), Subpart 9.2, Qualification Requirements. The proposed offeror (i.e., potential supplier) must satisfy these requirements in order to obtain Engineering Support Activity (ESA) source approval to manufacture commodity items for the specific application.

The actual Level-of-Effort (LOE) to manufacture a specific commodity item will be specified by the applicable technical data and contract documents.

https://org2.eis.af.mil/sites/22666/848%20SCMG%20MQRs/848%20SCMG%20Manufacturing%20Qualification%20Requirements https://org2.eis.af.mil/sites/22666/848%20SCMG%20MQRs/848%20SCMG%20Manufacturing%20Qualification%20Requirements https://www.e-publishing.af.mil/ https://org2.eis.af.mil/sites/22666/848%20SCMG%20MQRs/848%20SCMG%20Manufacturing%20Qualification%20Requirements https://org2.eis.af.mil/sites/22666/848%20SCMG%20MQRs/848%20SCMG%20Manufacturing%20Qualification%20Requirements

1.5 The terms “make” or “manufacture” are utilized throughout this document to represent a generic LOE. In addition, the primary source document, AFMCI 23-113 also addresses repair requirements; this MQR is relevant to only manufacturing requirements and has no bearing on repair requirements. Approval to repair an item is not equivalent to approval to manufacture that item and separate SARs must be submitted for repair and/or manufacturing. AFMCI 23-113 has recently been revised with a new publishing date of 31 March 2020. This MQR is structured to align with the new AFMCI in regard to SAR content and how the content is organized.

2 RESPONSIBILITIES

2.1 AFMCI 23-113, Section 2 covers government responsibilities to include specific responsibilities for the AFMC Staff, the Engineering Support Activity [ESA], the Procurement Contracting Officer [PCO], the Small Business Office [SBO], the Competition Advocate, Screeners, and Logistics Management Specialists.

3 SAR CORE PROCESS

3.1 AFMCI 23-113, Section 3, SAR Core Processes

Section 3 covers the entire set of SAR Core Processes. Processes most relevant to the proposed manufacturing offeror include:

Pre-award qualification requirements (Fig 3.1., flowchart)

SAR Evaluation/Approval procedures (Paragraph 3.5. and Fig 3.2., flowchart)

SAR Categories (see 3.2 below)

Site Survey requirements (Paragraph 3.7 [which includes a link to the Site Survey checklist found in the JACG Aviation Source Approval SAM])

3.2 AFMCI 23-113, Section 3.6, SAR Categories

The four following SAR Categories are listed with relevant information pertaining to each (Note:

Category I and II definitions include the use of the term Repair, Overhaul, Maintenance, and Modification (ROMM). This document covers manufacturing qualification requirements and as such, ROMM is not applicable.)

Category I, Actual Item - Proposed offerors have manufactured the exact (Subject) item for the prime contractor, OEM, another service, civil agencies, or foreign governments.

Category II, Similar Item - Proposed offerors have not manufactured the subject item but have manufactured items similar in complexity, design, criticality, processes, materials, and application for prime contractor, OEM, another service, civil agencies, or foreign government.

Category III, New Manufacturer - SARs from proposed offerors, who do not meet Category I or II criteria

Category IV, Alternate Item - Offeror is proposing an alternate part (part with like fit, form, function) as potentially equivalent to the OEM part. These can be reverse engineered, but not reengineered components. Some alternate parts are provided for the civil sector under FAA PMA via tests and computations or identicality without a license agreement.

4 AFMCI 23-113, Attachment Section The attachment section of the AFMCI provides several lists, forms, checklists, tables, and instructions. Attachments most relevant to the proposed manufacturing offeror are:

Attachment 1: Glossary of References and Supporting Information (A list of source references, published Forms, a list of Abbreviations and Acronyms, and Terms with definitions [and embedded links]

Attachment 5: SAR Evaluation Checklist (A checklist used by the ESA to evaluate SAR submittals; tailorable by the ESA as necessary)

Attachment 6: SAR Contents Checklist (A checklist for preparing a SAR. The ESA may add any information or adjust according to the Qualification Requirement as necessary) Table A6.2 Required Elements by SAR Category

(A list of required items [e.g., Cover Letter, Quality History, Test Results, etc.] broken down into requirements for each SAR Category)

Table A6.3 SAR Elements Description

4.1 (A detailed description of each Element called out in the SAR submission packages [e.g., Cover Letter, Technical Data Rights Certification Statement, Company Brochure, Quality Assurance Documents, Technical Data [to include a DD Form 2345, Military Critical Technical Data Agreement], Subject Item Specifications, similarities and differences comparison [Category II SARs], etc.

5 SAR Package Submissions SAR Packages may be submitted as a physical package or an electronic package

5.1 Physical Package

Read-only, compact disc (CD) or Digital Versatile Disc (DVD). All CD/DVD’s shall be scanned for viruses prior to submittal.

5.2 Electronic Package

Via the “Department of Defense (DoD) Safe”, Web site: safe.apps.mil

5.3 SAR Package format

The format for the submission may be either:

Multiple files in a Portable Document File (pdf) format

Single .pdf file with bookmarks to each element or a series of files and/or folders for each element. File/folder names shall correspond with the element identifier.

All financial data must be redacted from all documents submitted.

It is advised that the proposed offeror retain a copy of the SAR package submitted to the government for their permanent records.

6 Loss of Qualification Approval The proposed offeror should be aware that qualification approval may be lost per the conditions specified in FAR Part 9.207.

7 GOVERNMENT FURNISHED TECHNICAL DATA REQUESTS

7.1 Requests related to any procurement announcement should be submitted to the announcing Contracting Officer. If no procurement announcement exists, requests should be submitted to the Tinker Engineering Drawing Public Sales Office at the following address/email:

AFLCMC/LZPEF

Tinker Engineering Drawing Public Sales

3001 Staff Drive, Suite 1AB82A Tinker AFB, OK 73145-3041 Phone: 405-736-4676 Email: OCALC.LGLDO.PUBLIC@US.AF.MIL

7.2 Requests should identify the specific drawing(s) and specification(s) being requested, along with the solicitation information (if a procurement announcement exists). Requests should be made on company letterhead along with an approved DD Form 2345 or Export Control License.

8 OPTIONAL TEMPLATES

The following templates may be used as a basis to capture/organize information required in the SAR Package Submission.

8.1 COVER LETTER TEMPLATE

Specific requirements are defined in AFMCI Table A6.3, Item A.

COVER LETTER

Company Name All NSNs and P/Ns and Nomenclature

Company Address SAR Submittal Category

CAGE Code Company Size (Large or Small)

Company Point of Contact Type – Manufacture

Including email and phone Distributor/Mfg

Solicitation Number (If applicable) QR Designation and Revision (Ex: 848 SCMG MQR)

PCO or Buyer Name (If applicable) Inventory of Package

ERRC code (if known)

8.2 SUB-TIER SUPPLIER (STS) INFORMATION TEMPLATE

Specific requirements are defined in AFMCI Table A6.3, Item G.

Sub-Tier Supplier (STS) Information Yes No N/A

Is the STS used for manufacture?

If the STS is used for manufacture, enter relevant data below (all that apply)

Certifications or Approval (Expiration Date)

CAGE

Code

STS

Name

Specification/Process Prime/OEM DoD Nadcap AS9100 ISO 9001:2015+

NOTES:

1: CAGE Code = Commercial and Government Entity Code 2: OEM = Original Equipment Manufacturer mailto:OCALC.LGLDO.PUBLIC@US.AF.MIL

3: Nadcap = A global cooperative accreditation program for aerospace engineering, defense and related industries (formerly known as: National Aerospace and Defense Contractors Accreditation Program)

8.3 SIMILARITY COMPARISON CAPTURE TEMPLATE

Specific requirements are defined in AFMCI Table A6.3, Item J.

Subject Item Nomenclature Similar Item Nomenclature

Subject Item NSN Similar Item NSN

Subject Item Part Number Similar Item Part Number

Subject Item TMS (if known) Similar Item TMS (if known)

Subject Item Material Similar Item Material

Subject Item Function Similar Item Function

Subject Item Coatings Similar Item Coatings

Subject Item Manufacturing/ROMM Processes

Similar Item Manufacturing/ROMM Processes

Subject Item Inspection Processes Similar Item Inspection Processes

Subject Item Surface Finish Similar Item Surface Finish

Subject Item Tightest Tolerance Similar Item Tightest Tolerance

9 CONTACT INFORMAITON

AFSC Small Business Office (Submittals for Air Force-managed parts)

Website: http://www.afsc.af.mil/Units/SBO.aspx

Email: AFSC.SB.Workflow@us.af.mil

Phone: (405) 739-2601

Mailing Address: AFSC/SB Attn: Source Development Specialist 3001 Staff Drive, Suite 1AG85A Tinker AFB, OK 73145-3009

Defense Logistics Agency (DLA) (Submittals for DLA-managed parts)

Mailing Address: DLA Aviation Richmond ATTN: Small Business Office/DU SAR Program Manager Solicitation Number: (If known) 8000 Jefferson Davis Highway Richmond, VA 23297

Tinker AFB, Engineering Drawing Public Sales http://www.afsc.af.mil/Units/SBO.aspx mailto:AFSC.SB.Workflow@us.af.mil

Email OCALC.LGLDO.PUBLIC@US.AF.MIL

Phone 405-736-4676

Mailing Address AFLCMC/LZPEF Tinker Engineering Drawing Public Sales 3001 Staff Drive, Suite 1AB82A Tinker AFB, OK 73145-3041

TO Public Sales Office

Email: AFLCMC.ezgtp.PubSale@us.af.mil

Mailing Address: Technical Order Sales 7851 Arnold Ave.

Tinker AFB, OK 73145

Strategic Alternate Sourcing Program Office (SASPO)

Website: http://www.tinker.af.mil/Home/429SCMSSASPO.aspx

Email: 429SCMS.SASPO.Workflow@us.af.mil

Phone: (405) 736-5246

Mailing Address: 429 SCMS/GUMD Alternate Sourcing Flight Strategic Alternate Sourcing Program Office (SASPO) 3001 Staff Drive, Suite 2AC194B Tinker AFB, OK 73145-3009 mailto:OCALC.LGLDO.PUBLIC@US.AF.MIL mailto:AFLCMC.ezgtp.PubSale@us.af.mil http://www.tinker.af.mil/Home/429SCMSSASPO.aspx mailto:429SCMS.SASPO.Workflow@us.af.mil

PACKAGING REQUIREMENTS

PURCHASE INSTRUMENT NUMBER: FD20302502308-00 VERSION: 1

MIL-STD 129 REVISION: R MIL-STD 2073-1 REVISION: E

THE FOLLOWING STATEMENT IS IN COMPLIANCE WITH THE UNITED NATIONS-IMPLEMENTED RESTRICTIONS ON WOOD PACKAGING MATERIAL (WPM). THIS REQUIREMENT IS SPECIFICALLY CONCERNED WITH INVASIVE SPECIES SUCH AS THE PINEWOOD NEMATODE. WPM IS DEFINED AS WOOD PALLETS, SKIDS, LOAD BOARDS, PALLET COLLARS, WOODEN BOXES, REELS, DUNNAGE, CRATES, FRAMES, AND CLEATS. THE STATEMENT BELOW CITES THE REQUIREMENTS IN DETAIL AND COVERS LUMBER FOR BUILDING CONTAINERS AND PALLETS USED FOR DELIVERIES RESULTING IN SHIPMENTS WORLDWIDE (DIRECT, OR THROUGH AIR LOGISTICS CENTERS (ALC), CONTAINER CONSOLIDATION POINTS (CCP), OR OTHER BASES). WOODEN LUMBER, WOODEN

PALLET AND PACKAGING/CONTAINER STATEMENT:

ALL WOODEN LUMBER, WOODEN PALLET'S, AND WOODEN CONTAINERS PRODUCED ENTIRELY OR IN PART OF WOOD PACKING MATERIAL (WPM) SHALL BE CONSTRUCTED FROM DEBARKED WOOD IN ADDITION TO THE APPLICATION OF HEAT-TREATED (HT) MATERIAL (HT TO 56 DEGREES CENTIGRADE OR 133 DEGREES FAHRENHEIT FOR 30 MINUTES). CERTIFICATION/MARKING IS REQUIRED BY AN ACCREDITED AGENCY RECOGNIZED BY THE AMERICAN LUMBER STANDARDS COMMITTEE (ALSC). FOR REFERENCE DOCUMENTATION, SEE LATEST REVISION OF "INTERNATIONAL STANDARDS FOR PHYTOSANITARY MEASURES" (ISPM)NO.15), "REGULATION OF WOOD PACKAGING MATERIAL IN INTERNATIONAL TRADE."

PACRN: PACKAGING REQUIREMENT: PRESERVATION LEVEL: PACKAGING LEVEL: SPI: SPI REV: SPI DATE:

AAA MIL-STD-2073-1 / No Packaging Available MIL B

ITEM(S):

1650016841629HS

CODED DATA:

QUP ICQ

PRES

METH CD

PRES

MTL

WRAP

MTL

CUSH

DUNN CT

UNIT

CONT

INT

CONT UCL

SPEC

MKG

UNIT PACK

WEIGHT

LENGTH

WIDTH

DEPTH

CUBE OPI

ADDITIONAL PACKAGING AND CONTAINER MARKING REQUIREMENTS:

SUPPLEMENTAL PACKAGING INSTRUCTION TEXT:

VENDOR PACKAGING INSTRUCTIONS:

Military Packaging and Marking Items shall be packaged in accordance with MIL-STD-2073-1, Standard Practice for Military Packaging. Shipping and storage markings shall be in accordance with MIL-STD-129, Standard Practice for Military Marking.

Shipping Container Marking Shipping containers shall be marked meeting the following criteria: (a) MIL-STD-129, Standard Practice for Military Marking. (b) Additional marking and/or bar coding requirements exceeding those of MIL-STD-129 (e.g., unit serial numbers, original equipment manufacturers (OEM) name, or OEM model number, as specified on the AFMC Form 158.

ORGANIZATION / OFFICE SYMBOL:

406 SCMS / GULAA

PACKAGING SPECIALIST:

Cox, Sean R

PHONE NUMBER:

405-582-1901 / 852-1901

SIGNATURE:

//SIGNED//Cox, Sean R

DATE:

25272 - 29 SEP 2025

Page 1 of 1AFMC 158 Version 1Generated by PRPS using Jasper Reports on 10 Oct 2025

DEFENSE LOGISTICS AGENCY

WEAPONS SUPPORT

3001 STAFF DRIVE, SUITE 2B95

TINKER AIR FORCE BASE, OKLAHOMA 73145-1626

12 November 2025

MEMORANDUM FOR: Contracts Administrator/ Parker Hannifin Corporation

FROM: DLA Aviation – AOBB / 3001 Staff Dr., 2B93 / Tinker AFB, OK 73145

SUBJECT: Request for Proposal on Solicitation SPRTA1-26-Q-0127

Please provide a proposal, in accordance with the current DLA BOA, for the following no later than 2:00 PM CST on 12 December 2025. Please forward your proposal and direct all questions to Kristian Hollingshead at kristian.hollingshead.1@us.af.mil.

NSN: 1650016841629

PN: 300300R-1005

Noun: Rudder, Special

Interchangable NSN: 1650011428094 Interchangable PN: 458-50060-1 Interchangable Noun: Servocylinder

Firm Fixed Price Contract Quantity: 2 Ea Delivery: 14 Dec 2025 Ship To: TTK002 Supplemental Address: TA2RBC Mark For: TTKK00 F.O.B.: Origin Inspection/Acceptance: Origin

IUID APPLIES: DFARS 252.211.7003

Inspection/Acceptance Report: Receiving Report Required.

Quality Assurance: Other

Far 52.246-2,-3,-4,-5,-6 AS APPLICABLE TO CONTRACT A quality system compliant with AS9100, ISO 9001:2015, ISO 9001:2008, or equivalent are acceptable.

Compliance is demonstrated by certification or third party audit findings, such as from a DCMA QMS audit.

Reminder: Per DFAR 246.202-4 Higher-level Contract Quality Requirements

(1) Higher-level contract quality requirements are used in ADDITION to a standard inspection requirement.

(2) Higher-level contract quality requirements, including nongovernmental quality system standards adopted to meet DoD needs, are listed in the DoD Index of Specifications and Standards.

The requirements and certifications established by this document are valid for five years.

BIDSET information available on SAM.gov

DEFENSE LOGISTICS AGENCY

WEAPONS SUPPORT

3001 STAFF DRIVE, SUITE 2B95

TINKER AIR FORCE BASE, OKLAHOMA 73145-1626

ATTACHMENTS:

NOTE 1 - Packaging to be accomplished IAW the Packaging Requirements documents attached.

NOTE 2 - Transportation to be accomplished IAW the applicable Transportation documents attached.

NOTE 3 - IUID Checklist

NOTE 4 - MQR

TRANSPORTATION DATA FOR SOLICITATIONS

COMMODITY: See Continuation

PURCHASE INSTRUMENT NUMBER:

FD20302502308-00

DATE INITIATED:

29 SEP 2025

STOCK NUMBER: See Continuation

X ORIGIN DESTINATION OTHER DATA / FIRST ARTICLE F.O.B. DESTINATION(Specify)

F.O.B. TERMS RECOMMENDED AS BEST SUITED FOR THIS PROCUREMENT

TRANSPORTATION PROVISIONS / CLAUSES FAR CITATION

F.O.B. Origin 52.247-29 Destination - Unknown 52.247-49 Evidence of Shipment FMS 352.225-U037U Contact DCMA Transportation Contact DCMA Transportation on ALL "DCMA Administered" contracts prior to shipment for shipping instructions using the DCMA Shipment Instruction Request (SIR) eTool System, at http://www.dcma.mil <http://www.dcma.mil/> for ALL FOB:

Origin, Foreign Military Sales (FMS), and FOB: Destination OCONUS/Export movements to obtain the appropriate DOD regulatory clearances, shipping documentation and instructions from your cognizant DCMA Transportation Office. If you are new to DCMA, and do not already have a SIR eTool account, you will first need to request an account via DCMA External Web Access Management (EWAM) application which can be accessed at http://www.dcma.mil. If you need additional assistance, email DCMA Transportation Group at: Transportation.Division@dcma.mil. Do not move any freight to a water or aerial port prior to contacting DCMA or it will become frustrated. Failure to contact the responsible DCMA may result in vendor incurring additional expenditures.

Vendor Transportation Instructions

TACRN:

AAA

TRANSPORTATION FUNDS INFORMATION:

Purchase Instrument Line LOA: 9711X8242.0002 4FX LC5W CRBCTK 000000 00000 001000 503000 F03000 FSR: 108800 PSR: 137060

First Destination Transportation Account Code: DFMS

Miscellaneous Obligation / Reimbursement Document:

Second Destination Transportation Account Code:

FMS LOA: 9711X8242.0002 4FX LC5W CRBCTK 000000 00000 0

Additional Funding Information:

ITEM / SHIP TO(s):

NSN / Pseudo NSN: 1650016841629HS

Purchase Instrument Line Item Number: 0001

Ship to (DoDAAC / MAPAC): TTK002

Mark For: TTKK00

Ship To (Address):

WPOD:

APOD:

BBP / CCP:

RIC:

Requisition Number: DTKK5451627600

Supplemental Address: TA2RBC

FMS Case: RBC

Ship To (Remarks): TAC=DFMS

EVALUATION OF PORT BID OR PROPOSAL:

SOLICITATION DATA NOTES:

OTHER TRANSPORTATION DATA:

NAME

Cole, Chiquita D

ORGANIZATION / OFFICE

SYMBOL

406 SCMS / GULAA

COMMERCIAL / DSN

PHONE

478-926-7702 / 468-7702

SIGNATURE

//SIGNED//Cole, Chiquita D

DATE

29 SEP 2025

Page 1 of 1DD FORM 1653 Version 1Generated by PRPS using Jasper Reports on 10 Oct 2025