Exhibit_D_DI_A004_Depot_Maint_Prod_2pgs_W58RGZ-16-R-0038.pdf

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Overhaul/Repair of the UH-60, ELECTRO-MECH
Solicitation number
W58RGZ-16-R-0038
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Exhibit D_DI A004_Depot Maint Prod_2pgs_W58RGZ-16-R-0038

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

10/04/2016Page 1 of 2

1680-01-5579613

ACTUATOR, ELECTRO-MECH

D. SYSTEM / ITEM

A004

1. DATA ITEM NO.

GDULA, ROBERT H.

G. PREPARED BY

03/20/2015

H. DATE

CHILDS, BERNIDA

I. APPROVED BY

03/20/2015

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

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

DATE: 03/24/2015

4. AUTHORITY (DATA ACQUISITION DOC NO.) 5. CONTRACT REFERENCE

2. TITLE OF DATA ITEM

6. REQUIRING OFFICE

3. SUBTITLE

F. CONTRACTORE. CONTRACTOR / PR NO.

7. DD 250 REQ 9. DIST STATEMENT

REQUIRED

10. FREQUENCY 12. DATE OF FIRST

SUBMISSION

14. DISTRIBUTION

8. APP CODE

b. COPIES

DRAFT FINAL

REG REPRO

a. ADDRESSEE 11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

SEE BLK 16

NSN

PRID: PART NUMBER:FB715-1 70400-02260-128 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Depot Maintenance Production Report

DI-ALSS-80728A SOW, PARA N AMSAM-MSC-SSS

LT

N/A

A MTHLY

SEE BLK 16

NLT 10 DAEOM

0 1 0

0 1 0

16. REMARKS:

Block 12: The first report is due 3 working days after receipt of reparable item(s).

Block 14: The contractor shall provide data in digital format to:

usarmy.redstone.usamc.mbx.immc-smb-ammo@mail.mil

An additional copy shall be sent to: usarmt.uh60m-oteam@mail.mil Disregard the statement using the contractor's format. Both copies shall be prepared and submitted as an MS Excell file accordance with the attached sample.

POC: PHONE:

W58RGZ-16-R-0038

Exhibit D

10/04/2016Page 2 of 2

W58RGZ-16-R-0038

Exhibit D

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