53.301-1424 Standard Form 1424
INVENTORY DISPOSAL REPORT | PLANT CLEARANCE CASE NUMBER | |
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 | |||
2B. REMARKS (Identify contract number in which proceeds were applied, or disbursing office where proceeds ware 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 |
AUTHORIZED FOR LOCAL REPRODUCTION | STANDARD FORM 1424 (REV. 5/2004) |