QUARTERLY COST REPORT FOR GENERAL OFFICER QUARTERS
MAJCOM
INSTALLATION
FISCAL YEAR
REPORT DATE
FACILITY CODE
RPIC
YEAR BUILT
Net Sq Ft
(from IFP)
COUNTRY
QUARTERS STREET ADDRESS
STATE
NINE DIGIT ZIP CODE
CURRENT RESIDENT
(NAME AND GRADE)
POSITION AND OFFICE SYMBOL Privatized Y/N
SCP Y/N
MOVE IN DATE
SECTION I. OPERATIONS
1ST QTR
2ND QTR
3RD QTR
4TH QTR
FY TOTAL
$0.00
1. ADMIN AND MANAGEMENT
(AC 721.11 & 721.12)
$0.00
2. SERVICES
(AC 721.21 & 721.29)
$0.00
3. UTILITIES
(AC 728.11 & 728.12)
4. LEASES (AC 723-Foreign; 725-Domestic)
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
6. MISCELLANEOUS
(AC 721.51 & 721.53)
$0.00
$0.00
$0.00
$0.00
$0.00
7. TOTAL OPERATIONS
(Add Section 1, Lines 1-6)
(Readily Removable)
8. COMMUNICATIONS EQUIPMENT
SECTION II. MAINTENANCE, REPAIR, AND MINOR ALTERATION
$0.00
1. CHANGE OF OCCUPANCY
(AC 722.62)
2. MINOR/ROUTINE M&R (AC 722.62, 722.66, 722.71, 722.81)
$0.00
3. MAJOR M&R
(AC 722.61, 722.96, 724, 726)
$0.00
4. GROUND MAINTENANCE (AC 822.67, 722.81)
$0.00
$0.00
5. MINOR ALTERATIONS (AC 722.91 & 722.92)
6. TOTAL M&R AND MINOR ALTERATIONS
$0.00
$0.00
$0.00
$0.00
$0.00
(Add Section II, Lines 1-5)
7. CONGRESSIONALLY APPROVED M&R LIMIT IF DIFFERENT FROM $35,000
SECTION III. OPERATIONS AND MAINTENANCE/REPAIR/MINOR ALTERATIONS
TOTAL OPERATIONS & M&R/MINOR ALTER COSTS
$0.00
$0.00
$0.00
$0.00
$0.00
(Add Section I, Line 7 and Section II, Line 6)
SECTION IV. IMPROVEMENTS (P-713)
PROJECT NUMBER(S) AND DESCRIPTION OF WORK
DATE OBLIGATED
ACTUAL COST
SECTION V. FURNISHINGS HISTORY
FY:
FY:
FY:
FY:
FY:
FURNISHINGS 5-YEAR TOTAL
5-YEAR TOTAL
(MUST MATCH SEC 1, Line 5.A)
$0.00
VALIDATED BY NAME, OFFICE SYMBOL AND SIGNATURE
DATE
DATE
CERTIFIED BY
HOUSING MANAGER SIGNATURE
CERTIFIED BY
BASE CIVIL ENGINEER SIGNATURE
DATE
DATE
REVIEWED BY
OCCUPANT SIGNATURE
TYPED NAME, RANK
AF IMT 3826, 20030601, V1
PREVIOUS EDITIONS OBSOLETE
QUARTERLY COST REPORT FOR GENERAL OFFICER QUARTERS
MAJCOM
INSTALLATION
FISCAL YEAR
REPORT DATE
FACILITY CODE
RPIC
YEAR BUILT
Net Sq Ft
(from IFP)
COUNTRY
QUARTERS STREET ADDRESS
STATE
NINE DIGIT ZIP CODE
CURRENT RESIDENT
(NAME AND GRADE)
POSITION AND OFFICE SYMBOL Privatized Y/N
SCP Y/N
MOVE IN DATE
SECTION I. OPERATIONS
1ST QTR
2ND QTR
3RD QTR
4TH QTR
FY TOTAL
$0.00
1. ADMIN AND MANAGEMENT
(AC 721.11 & 721.12)
$0.00
2. SERVICES
(AC 721.21 & 721.29)
$0.00
3. UTILITIES
(AC 728.11 & 728.12)
4. LEASES (AC 723-Foreign; 725-Domestic)
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
6. MISCELLANEOUS
(AC 721.51 & 721.53)
$0.00
$0.00
$0.00
$0.00
$0.00
7. TOTAL OPERATIONS
(Add Section 1, Lines 1-6)
(Readily Removable)
8. COMMUNICATIONS EQUIPMENT
SECTION II. MAINTENANCE, REPAIR, AND MINOR ALTERATION
$0.00
1. CHANGE OF OCCUPANCY
(AC 722.62)
2. MINOR/ROUTINE M&R (AC 722.62, 722.66, 722.71, 722.81)
$0.00
3. MAJOR M&R
(AC 722.61, 722.96, 724, 726)
$0.00
4. GROUND MAINTENANCE (AC 822.67, 722.81)
$0.00
$0.00
5. MINOR ALTERATIONS (AC 722.91 & 722.92)
6. TOTAL M&R AND MINOR ALTERATIONS
$0.00
$0.00
$0.00
$0.00
$0.00
(Add Section II, Lines 1-5)
7. CONGRESSIONALLY APPROVED M&R LIMIT IF DIFFERENT FROM $35,000
SECTION III. OPERATIONS AND MAINTENANCE/REPAIR/MINOR ALTERATIONS
TOTAL OPERATIONS & M&R/MINOR ALTER COSTS
$0.00
$0.00
$0.00
$0.00
$0.00
(Add Section I, Line 7 and Section II, Line 6)
SECTION IV. IMPROVEMENTS (P-713)
PROJECT NUMBER(S) AND DESCRIPTION OF WORK
DATE OBLIGATED
ACTUAL COST
SECTION V. FURNISHINGS HISTORY
FY:
FY:
FY:
FY:
FY:
FURNISHINGS 5-YEAR TOTAL
5-YEAR TOTAL
(MUST MATCH SEC 1, Line 5.A)
$0.00
VALIDATED BY NAME, OFFICE SYMBOL AND SIGNATURE
DATE
DATE
CERTIFIED BY
HOUSING MANAGER SIGNATURE
CERTIFIED BY
BASE CIVIL ENGINEER SIGNATURE
DATE
DATE
REVIEWED BY
OCCUPANT SIGNATURE
TYPED NAME, RANK
AF IMT 3826, 20030601, V1
PREVIOUS EDITIONS OBSOLETE
