Attachment_5_-_Data_Item_Transmittal_Form.doc

ATTACHMENT 5

DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM

CDRL: TITLE:

Block 14 Distribution:

From:

To: US Army Command-Orlando, 12211 Science Drive, Orlando, FL 32826-3224 ATTN: Mr. Michael Kosalko/Ms. Jean Borowski The above detailed CDRL item is forwarded for review and acceptance/ rejection. This item is due . The

Government review period is days.

Sincerely, Signature:

Typed Name/Title:

Technical POC Email Address:

Contractual POC Email Address:

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:

Code: 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:

JEAN M. BOROWSKI

Contracting Officer