Form 4288 R – Fill Out and Use This PDF

SUBMITTAL REGISTER

CONTRACT NO.

(ER 415-1-10)

TITLE AND LOCATION

CONTRACTOR

SPECIFICATION SECTION

TYPE OF SUBMITTAL

CLASSI-

CONTRACTOR

CONTRACTOR

ACTION

GOVERNMENT

FICATION

SCHEDULE DATES

ACTION

A

I

C

C

N

E

I

T

S

S

R

N

G

I

T

S

T

T

F

O

SUBMIT

V

TRANS-

I

SPECIFICATION

D

R

C

A

I

O

V A

R

APPROVAL

MATERIAL

TO

I

MITTAL

T

PARAGRAPH

DESCRIPTION OF ITEM SUBMITTED

R

U

H

T

R

F

S

R

R

E P

E

SUBMIT

NEEDED

NEEDED

DATE

DATE

REMARKS

GOVERN-

T

NO.

E

NUMBER

A

C

E

E

E

I

A

E

M

R P

V

BY

BY

MENT

Y

M

W

T

D

M

P

C

M

C

A

N R

I

D

I

I

U

E

O

A

P

O

T O

M O

E

C

C

N

N

A

N

O

L

N

R

T

L

R

I N

E V

W

O

O

O

O

T

G

N

E

T

T

E

E

D

O L

N E

E

D

D

.

.

A

S

S

S

S

S

S

S

S

N Y

T D

R

E

E

a

b

c

d

e

f

g

h

I

j

k

l

m

n

o

p

q

r

s

t

u

v

w

x

y

z

ENG FORM 4288-R, OCT 99

EDITION OF SEP 93 IS OBSOLETE

PAGE_______ OF_______ PAGES

(Proponent CEMP-CE)