Attachment_3_Data_Item_Transmittal_Form.docx

SMW UH-60A FTD

Attach 3 DIT Acc/Rej

DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM

Contract: Delivery Order

CLIN/ELIN: TITLE:

Block 14 Distribution:

Doc. Ref. No.:

From:

To: U.S. Army Program Executive Officer, Simulation, Training and Instrumentation, 12350 Research Parkway, SFAE-STRI-KOP, Orlando, FL 32826 ATTN:

The above detailed CDRL item is forwarded for review and acceptance / rejection.

Sincerely, Signature:

Typed Name/Title:

FIRST ENDORSEMENT: Date Received:

( ) Accepted.

( ) Accepted conditionally.

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

( ) Attached comments must be incorporated and resubmitted no later than ________________.

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

Signature:

Typed Name/Title:

Office Symbol: Date: ________________

VIA: ________________ Date:

SECOND ENDORSEMENT:

( ) Accepted.

( ) Accepted conditionally.

( ) Attached comments must be incorporated into the next scheduled submission.

( ) Attached comments must be incorporated and resubmitted no later than ________________.

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

Signature:

Typed Name/Title: ___________________________________ Date: ________________

CC w/Encl.:

CC w/o Encl.: