Fillable Standard Form 1428 - Inventory Disposal Schedule printable pdf download

Standard Form 1428 - Inventory Disposal Schedule

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1. TYPE (Check block(s) where applicable)

2. SCHEDULE REFERENCE NUMBER

PAGE NO.

NO. OF PAGES

INVENTORY DISPOSAL SCHEDULE

OMB No.: 9000-0075

(See Reverse for Instructions)

TERMINATION

Expires:

2/28/2010

FINAL SCHEDULE

(See FAR 52.245 - l (j))

INVENTORY

Public reporting burden for this collection of information is estimated to average 1 hour 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 this burden, to the FAR Secretariat (VIR), Regulatory and Federal Assistance Division, GSA, Washington, DC 20405.

3. PRIME CONTRACT NO.

4. SUBCONTRACTOR/P.O. NO.

5. CONTRACT TYPE

6. TERM DOCKET NUMBER

7. TOTAL LINE ITEMS

8. TOTAL ACQUISITION COST

9a. CAGE CODE

9b. PRIME CONTRACTOR (Point of Contact)

10a. CAGE CODE

10b. SUBCONTRACTOR (Point of Contact)

10c. STREET ADDRESS

9c. STREET ADDRESS