<table style="width:100%;">
<colgroup>
<col style="width: 10%" />
<col style="width: 0%" />
<col style="width: 19%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 21%" />
<col style="width: 0%" />
<col style="width: 10%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 3%" />
<col style="width: 6%" />
<col style="width: 5%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="10"><p><strong>USAID TO</strong></p>
<p><strong>PARTS SLIP AND WORK REQUIRED</strong></p></td>
<td colspan="7"><p>INVOICE NUMBER</p>
<p>     </p></td>
</tr>
<tr class="even">
<td colspan="5"><p>DATE AND TIME IN</p>
<p>           </p></td>
<td colspan="5"><p>DATE AND TIME OUT</p>
<p>           </p></td>
<td colspan="7"><p>JOB NUMBER</p>
<p>     </p></td>
</tr>
<tr class="odd">
<td colspan="4"><p>TYPE AND SIZE</p></td>
<td colspan="4">INITIAL INSPECTION (INITIALS)</td>
<td colspan="3"></td>
<td colspan="6">1000 miles (1610 kilometers) or monthly</td>
</tr>
<tr class="even">
<td colspan="4"><p>MAKE, MODEL, YR</p>
<p>                </p></td>
<td colspan="4">FINAL INSPECTION (INITIALS)</td>
<td colspan="3"></td>
<td colspan="6">6000 miles (9660 kilometers) or six months</td>
</tr>
<tr class="odd">
<td colspan="4"><p>Plate Number</p>
<p>     </p></td>
<td colspan="4"><p>Mileage and Kilometers (Only Fill in 1)</p>
<p>           </p></td>
<td colspan="3"></td>
<td colspan="6"><p>Other</p>
<p>     </p></td>
</tr>
<tr class="even">
<td colspan="17">PARTS</td>
</tr>
<tr class="odd">
<td colspan="2">Quantity</td>
<td>Stock Number</td>
<td colspan="10">Description</td>
<td colspan="3">Unit Cost</td>
<td>Cost</td>
</tr>
<tr class="even">
<td colspan="2">Reqr.</td>
<td>Rec</td>
<td colspan="10"></td>
<td colspan="3"></td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">     </td>
<td>     </td>
<td colspan="10">     </td>
<td colspan="3">     </td>
<td>0.00</td>
</tr>
<tr class="even">
<td colspan="2">     </td>
<td>     </td>
<td colspan="10">     </td>
<td colspan="3">     </td>
<td>0.00</td>
</tr>
<tr class="odd">
<td colspan="2">     </td>
<td>     </td>
<td colspan="10">     </td>
<td colspan="3">     </td>
<td>0.00</td>
</tr>
<tr class="even">
<td colspan="2">     </td>
<td>     </td>
<td colspan="10">     </td>
<td colspan="3">     </td>
<td>0.00</td>
</tr>
<tr class="odd">
<td colspan="2">     </td>
<td>     </td>
<td colspan="10">     </td>
<td colspan="3">     </td>
<td>0.00</td>
</tr>
<tr class="even">
<td colspan="2">     </td>
<td>     </td>
<td colspan="10">     </td>
<td colspan="3">     </td>
<td>0.00</td>
</tr>
<tr class="odd">
<td colspan="2">     </td>
<td>     </td>
<td colspan="10">     </td>
<td colspan="3">     </td>
<td>0.00</td>
</tr>
<tr class="even">
<td colspan="13">Received by (Signature)</td>
<td colspan="3">Total Parts Cost</td>
<td> 0.00</td>
</tr>
<tr class="odd">
<td colspan="17">MAINTENANCE</td>
</tr>
<tr class="even">
<td>Mech #</td>
<td colspan="5">Description of Work</td>
<td colspan="3">Est. Time</td>
<td colspan="3">Act. Time</td>
<td colspan="2">Insp.</td>
<td colspan="3">Labor Cost</td>
</tr>
<tr class="odd">
<td>     </td>
<td colspan="5">     </td>
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="3">     </td>
</tr>
<tr class="even">
<td>     </td>
<td colspan="5">     </td>
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td colspan="5">     </td>
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="3">     </td>
</tr>
<tr class="even">
<td>     </td>
<td colspan="5">     </td>
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td colspan="5">     </td>
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="3">     </td>
</tr>
<tr class="even">
<td>     </td>
<td colspan="5">     </td>
<td colspan="3">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="3">     </td>
</tr>
<tr class="odd">
<td>     </td>
<td colspan="5">     </td>
<td colspan="3" rowspan="2">     </td>
<td colspan="3">     </td>
<td colspan="2">     </td>
<td colspan="3">     </td>
</tr>
<tr class="even">
<td colspan="6"><p>Signature of Foreman</p>
<p>or Inspector</p></td>
<td colspan="8">Total Labor Cost </td>
</tr>
<tr class="odd">
<td colspan="7"><p>TO CONVERT MULTIPLY BY</p>
<p>Miles into Kilometers 1.61</p>
<p>Pounds to Kilograms .45</p>
<p>Gallon into Liters 3.79</p></td>
<td colspan="8"><p>Total Cost (Parts &amp;Labor)</p>
<p></p></td>
<td colspan="2">0.00</td>
</tr>
</tbody>
</table>

AID 5-238 (4/92)

**Instructions**

1\. Parts Slip and Work Required Forms, consisting of (2)two copies, is
used to record all maintenance services or repairs accomplished and as
an

authorization document to obtain and account for vehicle repair parts.

2\. Specific work to be Accomplished by maintenance personnel, estimated
time and any known parts required will be entered in appropriate
sections

by inspecting personnel prior to a vehicle entering the maintenance
shop. Both copies of the form are sent to the maintenance shop with the
vehicle.

3\. On completion of required maintenance service or repairs, completed
original copy will be used to accumulate required statistical data ant
to post

job costs on Vehicle Repair Data Record. Original copy will then be
filled in vehicle jacket file. Duplicate copy of form which reflects any
issue

of repair parts will be filled in the parts supply to substantiate
repair parts issue.

4\. Heading will be completed by W/O clerk (Work Order Clerk).

a\. Inv. number - Enter the card number block 2, Motor Vehicle Record,
Form AID 5-197.

b\. Date and Time in - Enter current date and time vehicle was released
for maintenance service or repair by the dispatcher.

c\. Date and Time out - Enter current date and time vehicle was released
by inspecting personnel on completion of final inspection to

the dispatcher.

d, Job number - Enter job order number from job register. Job order
numbers will be assigned to both scheduled and unscheduled services or

repairs.

e\. Type - Enter correct nomenclature of vehicle as per Motor Vehicle
Record Form AID 5-197.

f\. Initial inspection (Initials) - Enter the initials of personnel
inspecting the vehicle prior to entering the maintenance shop.

g\. Type of work(x) one - Enter x mark by type of maintenance service
required. Block entitled other will be checked when lubrication

or unscheduled repairs are required .

h\. Model and Make - Enter the model of vehicle , 1963 Chevrolet, 1961
Ford, etc

i\. Final inspection (initials)- Enter the initial of personnel
accomplishing final inspection.

j Mileage - Enter current mileage of the vehicle.

5\. Parts - When repair parts are required , both copies of the form
will be presented to the repair parts supply clerk.

a\. When available, repair parts are issued, receipted for and for the
duplicate copy is retained in the repair parts supply to substantiate
issue. The original copy reflecting repair parts issue is returned to
the requester.

b\. When any or all of the repair parts are not available, the original
copy, reflecting any issues made, will be returned to the repair parts

requester. The original is then used as a basis to initiate local or
off-shore procurement action for the repair parts not available. After

procurement action for repair parts which were not available has been
initiated, the following will be effected :

\(1\) When the vehicle remains inoperative due to lack of repair parts,
the original is held in suspense pending receipt of repair parts. The

job order will remain open until repair parts are received and issued.

\(2\) When the inspector determine that the vehicle can safely continue
in operation with out the required repair part, the duplicate copy

reflecting issues will be finalized and the job order closed. When the
required part is received , the supply clerk will take action to

notify the Motor Transport Supervisor. A new job order will be issued
and necessary work accomplished.

c\. Parts portion of form will be accomplished as follows:

\(1\) Quantity required - inspector or mechanic will enter quantity of
item required.

\(2\) Quantity received - Repair parts clerk will enter quantity of item
issued form repair parts supply.

\(3\) Stock number - repair part clerk will enter stock number of the
required item

\(4\) Description - Inspector or mechanic will enter description of
required item.

\(5\) Unit price - repair part clerk will enter unit price of item.

\(6\) Cost - Repair part clerk will enter total cost for item received.

\(7\) Received by - Enter signature of individual receiving repair
parts.

\(8\) Total parts cost - Enter total cost for all parts received on the
job order.

6\. Maintenance

a\. Only maintenance services or repairs indicated by inspecting
personnel will be accomplished. Where additional work is required that
was not

entered on form during initial inspection, the inspector or shop foreman
will be notified and a determination made as to whether work will

be accomplished or deferred.

b\. Maintenance portion of form will be completed as follows:

\(1\) Mechanic number - Enter the number assigned to Inspector or
maintenance personnel.

\(2\) Description of work - Enter the description of specific work to be
performed . Work performed by inspection personnel will also be

shown.

\(3\) Estimated time - Inspecting personnel will enter estimated time
required to accomplish each specific item of work shown on form.

Estimated time will be obtained form flat rate manuals. Where not
available in flat rate manuals, estimated time will be based on

mission averages for similar items.

\(4\) Actual time - Inspecting and maintenance personnel will enter the
actual time required to accomplish each item of work shown on

the form.

\(5\) Initials - Enter the initials of personnel accomplishing each item
of work shown on the form.

\(6\) Labor cost - Enter the labor cost for accomplishing each item of
work shown on the form. Labor rates will be based on individual salary

of person accomplishing the work

\(7\) Signature - Enter the signature of person supervising
accomplishment of require work.

\(8\) Total labor Cost - Enter total labor cost for all work
accomplished.

\(9\) Total cost (parts and labor) - Enter the total cost for parts and
labor.

NOTE:

All Cost to be U.S. All liquids measures in U.S. and metrics.

AID 5-238(4/92) Back