1. PLANT CLEARANCE CASE NUMBER
Form Approved
NOTICE OF ACCEPTANCE OF INVENTORY SCHEDULES
OMB No. 0704-0246
Expires Feb 28, 2006
The public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection
of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0246). Respondents should be aware
that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB
control number.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE ABOVE ORGANIZATION.
RETURN COMPLETED FORM TO ADDRESS IN BLOCK 2
ALL FUTURE DOCUMENTS CONCERNING THIS CASE MUST BEAR THE PLANT CLEARANCE CASE NUMBER SHOWN ABOVE.
2. TO (Include ZIP Code)
3. FROM (Include ZIP Code)
NOTE TO CONTRACTOR
This office accepts the inventory schedules listed below as
Government's right to contest the cost, quantities, and
being satisfactory in form for storage or removal purposes.
allocability of any item or items.
Within a few days, a
Acceptance of the inventory schedules as satisfactory in form
Government representative will visit your plant to verify the
will not affect the Government's right to require additional
inventory submitted, review your bill of material, and confirm
information on any listed item, nor prejudice the
allocability of the inventory submitted.
4. PROCUREMENT INSTRUMENT
5. SUBCONTRACT OR
6. CHANGE ORDER NUMBER
7. TERMINATION DOCKET
IDENTIFICATION NUMBER
PURCHASE ORDER NUMBER
NUMBER
8. CONTRACTOR'S REFERENCE
9. TYPE OF CONTRACT (X one)
NUMBER
a. FIXED PRICE
b. COST TYPE
c. FACILITY
d. LEASE
e. BAILMENT
f. STORAGE
10. TYPE OF INVENTORY (X one)
a. TERMINATION
b. RESIDUAL TO CONTRACT
c. CHANGE ORDER
d. EXCESS GFP
e. PRODUCTION EQUIPMENT
11. COST OF INVENTORY SCHEDULES
12. LOCATION OF PROPERTY
a. STANDARD FORM 1426
$
(Schedule A)
b. STANDARD FORM 1428
$
(Schedule B)
c. STANDARD FORM 1430
$
(Schedule C)
13. CONTRACTOR OR SUBCONTRACTOR
d. STANDARD FORM 1432
$
(Schedule D)
a. NAME (Identify as Prime Contractor or Subcontractor)
$
e. DD FORM 1342
b. ADDRESS OF CONTRACTOR OR SUBCONTRACTOR (Include ZIP Code)
$
f. STANDARD FORM 1434
g.
TOTAL
0.00
$
14. COMMENTS (Continue on additional sheets if necessary.)
.
15. PLANT CLEARANCE OFFICER
a. TYPED NAME (Last, First, Middle Initial)
b. SIGNATURE
c. DATE
DD FORM 1637, JUN 2003
PREVIOUS EDITION IS OBSOLETE.
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