Standard Form 30 - Amendment Of Solicitation/modification Of Contract Page 31
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40CONTRACT NO.
DELIVERY ORDER NO.
AMENDMENT/MODIFICATION NO.
PAGE
FINAL
N00178-04-D-4147
HR18
03
29 of 38
SLINID
PR Number
Amount
-------- -------------------------------------------------- ---------------------
900001
130053304600001
500.00
LLA :
AA 97X4930 NH1D 252 77777 0 050120 2F 000000 A00003132893
BASE Funding 500.00
Cumulative Funding 500.00
MOD 01 Funding 0.00
Cumulative Funding 500.00
MOD 02 Funding 0.00
Cumulative Funding 500.00
MOD 03
700001
130056110700001
132032.68
LLA :
AB 1761804 8B4B 251 24VCS 0 050120 2D 000000 A10003362469
700002
130056110500001
357078.00
LLA :
AC 1761804 8C7C 251 24VCS 0 050120 2D 000000 A00003362398
900002
130056110700002
13000.00
LLA :
AB 1761804 8B4B 251 24VCS 0 050120 2D 000000 A10003362469
900003
130056110500002
11000.00
LLA :
AC 1761804 8C7C 251 24VCS 0 050120 2D 000000 A00003362398
MOD 03 Funding 513110.68
Cumulative Funding 513610.68
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