Fillable Standard Form 1424 - Inventory Disposal Report printable pdf download

Standard Form 1424 - Inventory Disposal Report

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PLANT CLEARANCE CASE NUMBER

INVENTORY DISPOSAL REPORT

(See FAR 45.605)

TO: (Include ZIP Code)

FROM: (Include ZIP Code)

1. DATE PLANT CLEARANCE CASE OPENED

2. DATE PLANT CLEARANCE CASE CLOSED

3. NUMBER OF DAYS BETWEEN OPENING AND CLOSING

4. NAME AND ADDRESS OF CONTRACTOR/SUBCONTRACTOR (Include ZIP Code)

5. IF SUBCONTRACTOR, STATE NAME AND ADDRESS OF PRIME CONTRACTOR

(Include ZIP Code)

6. LOCATION OF PROPERTY (City and State)

7. CONTRACT NUMBER

8. DOCKET NUMBER (Termination only)

9. SUBCONTRACT NUMBER

10. CONTRACTOR REFERENCE NUMBER

DISPOSITION OF PROPERTY

ITEM DESCRIPTION

LINE ITEMS

ACQUISITION COST

PROCEEDS

11. TOTAL INVENTORY AS SUBMITTED

12. ADJUSTMENTS (Pricing errors, shortages, etc.)

13. ADJUSTED INVENTORY (Line 11 + or - Line 12)

14. PURCHASE OR RETENTION AT COST

15. RETURN TO SUPPLIERS(Net Proceeds)

16. REDISTRIBUTIONS

A. WITHIN OWNING AGENCY

B. OTHER AGENCIES

TOTAL

17. DONATIONS

18. SALES

19. SALES - SCRAP PROCEEDS TO OVERHEAD

20.

21.

22. TOTAL PROCEEDS CREDIT (Total Lines 14,15, and 18)

23. ABANDONED

24. DESTROYED/ABANDONED

25. DESTROYED/SCRAPPED

26. OTHER (Explain in Item 28, Remarks)

27. TOTAL DISPOSITIONS

28. REMARKS (Identify contract number in which proceeds were applied, or disbursing office where proceeds were deposited)

To the best of my knowledge, disposition of all property on this case has been effected in accordance with existing regulations, all property has been accounted

for and all disposal credits properly applied.

CONTRACT ADMINISTRATION OFFICE (Authorized signature and title)

DATE

STANDARD FORM 1424

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 5/2004)

Previous edition is not usable

Prescribed by GSA - FAR (48 CFR) 53.245(d)