Exhibit_D_Data_Item_A004_W58RGZ-19-R-0050.pdf

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Solicitation for the Overhaul/Repair of the UH-60 Tail Rotor Blade with Pitch Horn Replacement
Solicitation number
W58RGZ-19-R-0050
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Exhibit D_Data Item A004_W58RGZ-19-R-0050.pdf

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

06/07/2017Page 1 of 2

1615-01-1138188

TAIL ROTOR BLADE

D. SYSTEM / ITEM

A004

1. DATA ITEM NO.

GDULA, ROBERT H.

G. PREPARED BY

10/04/2016

H. DATE

MCREE, DAVID L.

I. APPROVED BY

10/04/2016

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

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

DATE: 10/07/2016

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

AMSAM-MSC-SI

NSN

PRID: PART NUMBER:DB499-1 70101-31000-043 STATUS: R

AMSRD-AMR-SE-TD-ST/DM

Technical Report - Study/Services DD FORM 1348-1A

DI-MISC-80508B SOW, PARA N AMSAM-MSC-SI

SD

N/A

A 1 TIME

N/A

SEE BLK 16

N/A

0 1 0

0 1 0

16. REMARKS:

Block 12: Contractor shall deliver report within 5 working days of receipt of repairables.

Block 14A: Data shall be delivered to: usarmy.redstone.usamc.mbx.immc-smb-ammo@mail.mil

POC: PHONE:

W58RGZ-17-R-0237

Exhibit D

06/07/2017Page 2 of 2

W58RGZ-17-R-0237

Exhibit D

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