PAGE
OF
PAGES
2. REPORT FOR MONTH ENDING AND NUMBER OF
Monthly Contractor Financial
National
WORKING DAYS
Form Approved
Aeronautics and
Management Report
Space
O.M.B. No. 2700-0003
Administration
TO:
FROM:
3. CONTRACT VALUE
a. COST
b. FEE
$
$
a. TYPE
b. CONTRACT NO. AND LATEST DEFINITIZED MODIFICATION NO.
4. FUND LIMITATION
1. DESCRIPTION
$
OF
c. SCOPE OF WORK
DATE
5. BILLING
d. AUTHORIZED CONTRACTOR REPRESENTATIVE (Signature)
CONTRACT
a. INVOICE AMTS. BILLED
b. TOTAL PYTS. REC'D.
$
$
7. COST INCURRED/HOURS WORKED
8. ESTIMATED COST/HOURS TO COMPLETE
9. ESTIMATED FINAL
DURING MONTH
CUM. TO DATE
DETAIL
COST/HOURS
10. UNFILLED
6. REPORTING CATEGORY
BALANCE OF
ORDERS
ACTUAL
PLANNED
ACTUAL
PLANNED
CONTRACT
CONTRACTOR
CONTRACT
OUTSTANDING
ESTIMATE
VALUE
a.
b.
c.
d.
a.
b.
c.
a.
b.
Baseline Plan Identification (Col. 7b & 7d): Revision No.
, Dated
RCS 1ØPUBLØØ417
NASA FORM 533M AUG 96 PREVIOUS EDITIONS ARE OBSOLETE.