AI617-1_CDRL_A003.pdf

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GENERATOR ALTERNATING
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W58RGZ19R0248
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EXHIBIT A003 TECHNICAL REPORT 1348-1A

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CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

12/21/2017Page 1 of 2

6115-01-4710888

GENERATOR, ALTERNATING

D. SYSTEM / ITEM

A003

1. DATA ITEM NO.

GUTJAHR, MICHAEL E.

G. PREPARED BY

09/27/2017

H. DATE

GUTJAHR, MICHAEL E.

I. APPROVED BY

09/27/2017

J. DATE

MAYHALL, CONNIE

LOG #

CONCUR:

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

DATE: 09/29/2017

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. ADDRESSEE11. AS OF DATE 13. DATE OF SUBEQUENT

SUBMISSION

15. TOTAL

17. PRICE GROUP 18. ESTIMATED TOTAL PRICE

AMSAM-MSC-SI

NSN:

PRID: PART NUMBER:AI617-1 AGH828-3 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:

12/21/2017Page 2 of 2

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