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SURFACE FORCES LOGISTICS CENTER

SFLC Baltimore Procurement SDR(ROD) Form

* - Required Field

Contract/Delivery Information

*Contract/ PO #: Delivery Order #

Contractor Information

*Contact Name: *Contact Phone:
*Contact Email:  
*Company Name:
*Company Address:

SFLC Contact Information

*Contracting Officer:

Government-Furnished Material to be Received (Provide the item name, national stock number, partnumber, serial number, quantity, etc. that should have been received under the above contract/purchase order)

Item Name National Stock Number
(e.g. 5998-01-123-1234)		 Part Number Serial Number Quantity

Actual Material Received (Provide the item name, national stock number, partnumber, serial number, quantity, etc. that was actually received)

Item Name National Stock Number Part Number Serial Number Quantity

Discrepancy Information

* Nature of Discrepancy:
Description of discrepancies
     

 

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Created June 2009
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Last Modified 4/25/2013