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<td colspan="7"><p><strong>DEPARTMENT OF TRANSPORTATION</strong></p>
<p><strong>CONTRACTOR REPORT OF GOVERNMENT PROPERTY</strong></p></td>
<td colspan="3"><p><strong>OMB Control No. 2105-0517</strong></p>
<p><strong>Expiration Date: May 31, 2008</strong></p></td>
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<td colspan="10">This collection of information is mandatory and will be
used to fulfill the requirements of the Transportation Acquisition
Regulation (TAR). Public reporting burden is estimated to average 1 hour
per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments
regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the FAR
Secretariat (VRS), Office of Federal Acquisition and Regulatory Policy,
GSA, Washington, D.C. 20405; and to the Office of Management and Budget,
Information and Regulatory Offices, 725 17th Street, NW, Washington, DC
20503. Please note that an agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless
it displays a currently valid OMB control number. The OMB control number
for this collection is 2105-0517.</td>
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<td colspan="10"><strong>1. Contract Number:</strong>
_________________________________________________________________</td>
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<td colspan="10"><strong>2. Report Period Ending:</strong>
_________________________________________________________________</td>
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<td colspan="5"><strong>3. Contractor (Name and Address)</strong></td>
<td colspan="5"><strong>4. Contracting Office (Name and
Address)</strong></td>
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<td colspan="10"><strong>5. Name and location of Government-Owned,
Contractor-Operated Plant (if applicable)</strong></td>
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<td colspan="10"><strong>6. Any Government property located at a
subcontractor's plant? ______ Yes ______No. If yes, give the name and
address of the subcontractor(s) on an attached sheet to this
report.</strong></td>
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<td colspan="10"><strong>7. Date contractor's property control system
approved?</strong> ________________________________________</td>
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<td colspan="10"><p><strong>8. Approved by whom?</strong>
_______________________________________________</p>
<p><strong>Name of Agency/Office</strong></p></td>
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<td></td>
<td colspan="2"><strong>Starting Balance</strong></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"><strong>Ending Balance</strong></td>
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<td><p>9.</p>
<p>Property</p>
<p>Class</p>
<p>(See FAR 45.5)</p></td>
<td><p>Total</p>
<p>Acquisition</p>
<p>Cost</p>
<p>(in dollars)</p></td>
<td><p>Total</p>
<p>Quantity</p>
<p>(in acres</p>
<p>or units)</p></td>
<td colspan="3"><p>Items</p>
<p>Added</p>
<p>in $</p></td>
<td colspan="2"><p>Items</p>
<p>Deleted</p>
<p>in $</p></td>
<td><p>Total</p>
<p>Acquisition</p>
<p>Cost</p>
<p>(in dollars)</p></td>
<td><p>Total</p>
<p>Quantity</p>
<p>(in acres</p>
<p>or units)</p></td>
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<td>a. Land &amp; Rights Therein</td>
<td></td>
<td></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td></td>
<td></td>
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<td>b. Other Real Property</td>
<td></td>
<td></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td></td>
<td></td>
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<td>c. Plant Equipment</td>
<td></td>
<td></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td></td>
<td></td>
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<td>d. Special Test Equipment</td>
<td></td>
<td></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td></td>
<td></td>
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<td>e. Special Tooling</td>
<td></td>
<td></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td></td>
<td></td>
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<td>f. Materials in Stock (when total value exceeds $50,000)</td>
<td></td>
<td></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td></td>
<td></td>
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<td colspan="10"></td>
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<td colspan="10"><strong>NOTE: This report shall include all Government
property (i.e., property furnished by the Government, or acquired or
fabricated by the contractor or subcontractors). By signature hereon,
the contractor's property administrator declares that the report was
prepared from the contractor's records that are required by FAR
45.5.</strong></td>
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<td colspan="4"><strong>10. Typed Name of Contractor Property
Administrator</strong></td>
<td colspan="6"><strong>11. Signature and Date</strong></td>
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