Exhibit_D_A004_Depot_Maintenance_Production_Report___.pdf

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Overhaul/Repair
Solicitation number
W58RGZ-16-R-0149
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Exhibit D

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

05/23/2017Page 1 of 2

3010-01-5158483

COSSI CLUTCH ASSEMBLY

D. SYSTEM / ITEM

A004

1. DATA ITEM NO.

WILSON, FRANCES D

G. PREPARED BY

09/14/2015

H. DATE

DUCKETT, TIHERA L. (SHAY)

I. APPROVED BY

05/19/2017

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

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

DATE: 05/19/2017

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:2015H505 3617950-1 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Depot Maintenance Production Report

DI-ALSS-80728A SOW, PARA N AMSAM-MMM-OM

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

Block 14: In addition, the contractor shall provide data in a MS Excel file, contractor format acceptable to:

usarmy.redstone.peo-avn.mbx.apache-maint-ops@mail.mil AND usarmy.redstone.usamc.mbx.immc-smb-ammo@mail.mil

POC: PHONE:

05/23/2017Page 2 of 2

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