Attachment_4_Data_Item_Transmittal.pdf

DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM

Contract W900KK-___________

CLIN/ELIN: ______/_______ TITLE: ___________________________________________________ Block 14 Distribution: ________________ Other: CDRL Number

Doc. Ref. No.:______________________________ Date:_______________________ From:

To: U.S. Army Contracting Command - Orlando 12211 Science Drive, Orlando, FL 32826-3224

ATTN: _____________________________________

The above detailed CDRL item is forwarded for review and acceptance/ rejection. This item is due __________, Government review period is days.

Signature:

Typed Name/Title: ______________________________

FIRST ENDORSEMENT: Date Received:

( ) Accepted.

( ) Accepted. Attached comments must be incorporated into the next scheduled submission. (This block is for use with periodically submitted items only.)

( ) Rejected, comments attached. Change pages ( ) are ( ) not sufficient for correction. Contractor is allowed ( ) 30 days or ( ) days to resubmit.

Signature:

Typed Name/Title: ________________________________________ Date: _________________

VIA: Date:

VIA: PD Date:

SECOND ENDORSEMENT:

( ) Accepted.

( ) Accepted conditionally. Attached comments must be incorporated in the next scheduled submission.

( ) Rejected, comments attached. Resubmit no later than __________________

Signature:

Typed Name/Title: ____________________________ Date: ________________ Contracting Officer

CC w/Encl.:

CC w/o Encl.:

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