Case 1:07-cv-00867-TCW
Document 18-10
Filed 06/30/2008
Page 1 of 2
" ,. PRdc. I~B'rP.UM~'~ ~OEN. DOmF~CT) DAAE30.~B-C'0013 2. 5H!PMENT I/~ed~P 001 10/2t/97
1 ¯ CODE4~1't
O, INVO{CP. NO/DATE
I(ORDER)NO. !
97-0493 I
,!" ,, , ,II°PJGIN
N~30DAYS
' 0. PRIME CONTRACTOR '"
~,~ASON & HANGER CORPORATION LEXINGTON, KENTUCKY 40504~3363 lt. 5HIPPED FROM |IF ~¥HER THAN g} CODI~ MASON & HANGER CORPORATION 17575 STATII HWY 79 MIDDLETOWN, IOWA. 52638 DEFENSE FINAI~CE & ACCOUNTING SERVICE R I OPERATING LOCATION A'[TN; DF.AS4:~I-FPV BLDG 68 ROOK ~SLAND, ILLINOIS
~ SHPP~.DTO
"' coD~I .,~z,~ ! MASON & HANBER CORPORATION 17~5 ~A~ H~ ~ ~]~OWH, ~O~A ~2~
16. STOCK/PART NO. .. DESCRIPTION I 17.
15. ITEM NO.
ilB.
19. UNIT PRICE !20. AMOUNT
! 0001AA
Speclal Teoling, Equipment, end Faellltlzation
Flr=t ArL]cle Sample o124 unlt~
$421~i~4
i
!
.................... A,'oRIG1N ~CQA [~AOGEPTANCE o[I]sh.=d ]lems has ~n ~de b~ ~ or under my ~n and ~ey ~n~ to ~n~c% ~pt as not~ heroin ~ ~ su~o~n9 documan~,
DATE IWP~ ~E @IG~TU~ ~ A~H G~ ~P
COt'."TRACT.QUALtTY ASSURANCE B. DESTI~TION ~G~ ~ACCEPTANGE of IlslBd Items has ~n ~d~ by ~ or ~d~ ~ su~n and thay ~nfo~ to ~n~, ~pt ~ ~ted harbin or on ~p~g do~ents,
2.2. RECF-.IViER'S Quantl~ea shown in c~unm 17 =In apparent go~d condition except as need,
~'fF. R~CE~VED ~ GNA'iURF. OF RUTH GOVT REP
tYPED h~.ME DATE ~~ ~IU~ ~ A~ ~W R~ ~ SF~CSS~D
'If quantity received by the Govemrrmnt Is the ~ame as quantity shipped, indic=re by {X) ~md~ If different, enter actual quantlty received b~low quantity shipped,a,nd,encWcte.
DD Form 250, DEC91
Previous edllions are obsc~eta,
°U,~, Gov~P, me~l P~Ung 0~1~; 11~.-3|1-~242
ADO00002 .
APP 119
Case 1:07-cv-00867-TCW
Document 18-10
Filed 06/30/2008
Page 2 of 2
since 1827 MASON & HANGER CORPORATION IOWA ARMY AMMUNITION PLANT
Sold To:
Defense Finance & Accounting Service Rock island Operating Location ATTN: DFAS-RI-FPV, Building 68 Rock Island, IL 61299-8301
Invoice No. Invoice Date Terms Remit Ely
97-0493 10/24197 Net 30 11123197
Order No. DAAE30-96-C-0013
Item O001AA
Quantity
Descriplion " First Article T~st
Unit Price
Total $9,310,071.00 ($5,641,391.00) $10,292.22
Less: Amounts Previously Invoiced oi~ Progress Payments
24
First Article Sample of 24 units
$.128.84
if questions please contact Angi Campbell (31~1)753-7216 GRAND TOTAL $3,678,972,22
Cedi~ed For Payment In lhe Amount
~Abmes D. Nelson dministrative Contracting Officer Iowa Army Ammunition Plant Middletown,.IA 52638-5000 DSN 5fl5-7041, Commercial 3'f9 753.-7041 Please Make Wire Fund TransferTo: Firstar Bank Burlington, Iowa 52601 Account #621021744 . Please Make Check Payable To:
OR
Mason & Hanger-Silas Mason'Co., Inc.
17575 Stale Highway 79 , I/llddlelowll, Iowa 52638-9701 , 1..801]-4811-9719 ¯ Fax 319-753-7774 ¯ lnlo~!lea~lowa.ltorii
AO000001 APP 120