GREASE, SILICONE INS

11.X IF BUSINESS IS | | SMALL | | SMALL DISAD- VANTAGED | | WOMEN-OWNED SL4701 DPK002 79343 S3101A 23. AMOUNT 3.DATE OF ORDER/CALL (YYYYMMDD) 20231002 27a.QUANTITY IN COLUMN 20 HAS BEEN | |INSPECTED | |RECEIVED | |ACCEPTED AND CONFORMS TO THE CONTRACT EXCEPT AS NOTED _________________________ ________________________ ____________________________________ _________________ NAME OF CONTRACTOR SIGNATURE TYPED NAME AND TITLE DATE SIGNED(YYYMMDD) | | If this box is marked, supplier must sign Acceptance and return the following number of copies: 24. UNITED STATES OF AMERICA Tonya Green TONYA.GREEN@DLA.MIL 10/02/2023 Tonya Green 17.ACCOUNTING AND APPROPRIATION DATA/LOCAL USE BX: 97X4930 5CBX 001 2630 S33189 22.UNIT PRICE 21. UNIT 20.QUANTITY ORDERED/ ACCEPTED* 19. SCHEDULE OF SUPPLIES/SERVICES 18.ITEM NO Award Sent EDI, Do Not Duplicate Shipment. FMS SEE SCHEDULE PLEASE CONTACT THE DCMA IN BLOCK 7 FOR SHIPPING INSTRUCTIONS TERMS AND

CONDITIONS ARE IN ACCORDANCE WITH BASIC CONTRACT If quantity accepted by the Government is same as quantity ordered, indicate by X. If different, enter actual quantity accepted below quantity ordered and encircle. d.PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT REPRESENTATIVE c.DATE (YYYYMMDD) b.SIGNATURE OF AUTHORIZED GOVERNMENT REPRESENTATIVE 15. PAYMENT WILL BE MADE BY CODE DEF FIN AND ACCOUNTING SVC BSM P O BOX 182317 COLUMBUS OH 43218-2317 14.SHIP TO CODE MARK ALL PACKAGES AND PAPERS WITH IDENTIFICATION NUMBERS IN BLOCKS 1 AND 2. 8. DELIVERY FOB | | DESTINATION | | OTHER (See Schedule if other) 9.CONTRACTOR CODE FACILITY 7.ADMINISTERED BY (IF OTHER THAN 6) CODE SCIENCE APPLICATIONS INTERNATIONAL CORPORATION 155 PASSAIC AVE FAIRFIELD NJ 07004-3561 USA DCMA SPRINGFIELD BUILDING 93 PICATINNY ARS PICATINNY ARSENAL NJ 07806 6.ISSUED BY CODE DLA AVIATION 6090 STRATHMORE ROAD RICHMOND VA 23237 Local Admin: Holly Dunnavant Tel: 804-279-6034 Email:Holly.Dunnavant@dla.mil PAGE 1 OF 2 5.PRIORITY DO-C9 4.Purchase Requisition Number 7004771043 2. DELIVERY ORDER/CALL NO. SPE4A6-24-F-A273 1.CONTRACT/PURCH ORDER/AGREEMENT NO. SPE4AX-16-D-9012 ORDER FOR SUPPLIES OR SERVICES SPE4A6 16. TYPE OF ORDER PURCHASE X DELIVERY CALL 42.S/R VOUCHER NO. 41.S/R ACCOUNT NUMBER 40.TOTAL CON- TAINERS 39.DATE RECEIVED (YYYYMMDD) 38.RECEIVED BY (PRINT) 37.RECEIVED AT DD FORM 1155, DEC 2001 PREVIOUS EDITION IS OBSOLETE ACCEPTANCE. THE CONTRACTOR HEREBY ACCEPTS THE OFFER REPRESENTED BY THE NUMBERED PURCHASE ORDER AS IT MAY PREVIOUSLY HAVE BEEN OR IS NOW MODIFIED, SUBJECT TO ALL OF THE TERMS AND CONDITIONS SET FORTH, AND AGREES TO PERFORM THE SAME. Reference your furnish the following on items specified herein. This delivery order/call is issued on another Government agency or in accordance with and subject to terms and conditions of the above numbered contract. 30.INITIALS 26. DIFFERENCES 25.TOTAL $53.75 13.MAIL INVOICES TO THE ADDRESS IN BLOCK Submit Invoices IAW DFARS 252.232-7003 12.DISCOUNT TERMS IAW Basic 10.DELIVER TO FOB POINT BY(DATE) (YYYYMMDD) | | PARTIAL | | FINAL 31.PAYMENT | | COMPLETE | | PARTIAL | | FINAL 28.SHIP. NO. 32.PAID BY 29.D.O.VOUCHER NO b.SIGNATURE AND TITLE OF CERTIFYING OFFICER a.DATE (YYYYMMDD) 36.I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT. g.E-MAIL ADDRESS f.TELEPHONE NUMBER e.MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 35. BILL OF LADING NO. 34. CHECK NUMBER 33. AMOUNT VERIFIED CORRECT FOR CRITICALITY:A 20231201 SEE SCHEDULE, DO NOT SHIP TO ADDRESSES ON THIS PAGE X SCIENCE APPLICATIONS INTERNATIONAL Reference PIID / Order Number SPE4AX-16-D-9012 /SPE4A6-24-F-A273 PAGE 2 OF 2 DO Counter:002656 BDN: SCHEDULE NSN/PartNumber: 9150002575358 GREASE,SILICONE INS WEIGHT: 0.770 CUBE: 0.035 MFR. CAGE ***** P/N ****See Basic Contract**** QTY. VARIANCE +0.0% -0.0% SHIP TO: FRTFWDR:DPK002 EAGLE VAN LINES 16200 BRANCH CT TEL: (301)-238-7062 EXT:3062 UPPER MARLBORO, MD 20774 USA Ref CLIN ITEM QUANTITY U/I UNIT PRICE TOTAL DELIVERY FOB INSP. ACC. 2490 0001 1.000 TU $53.75 $53.75 01DEC2023 ORIG ORIG ORIG FMS: QAP MARK FOR DATA: TCN: DPKG5432735228 RDD: A03 TP: 1 SUPP ADD: DA2QAP PROJ: 7DA SIG: L GOV USE ONLY: IDP: 02 DIC: A31 DIST: N16 ADV: 2L FC: NL FREIGHT: MARK FOR: DPKG00 DPKG00 OFFICER COMMANDING T:92 0722-654053 F:92 0722-654734 NO 121 ALD PAF BASE SHAHBAZ JACOBABAD PAKISTAN OFFICER COMMANDING T:92 0722-654053 F:92 0722-654734 NO 121 ALD PAF BASE SHAHBAZ JACOBABAD PAKISTAN **********************************************************************************