OFFICE OF DESIGN & CONSTRUCTION - New Jersey



|OFFICE OF CONSTRUCTION SERVICES |Project No.: | |

|Division of Property Management & Construction | | |

|New Jersey Department of Treasury |Invoice No.: | |

| |Invoice Date: | |

|PRIME CONTRACTOR’S SUMMARY OF STORED MATERIALS |Sheet | |of | |

|(OFF SITE STORED MATERIALS/EQUIPMENT LIST) | | | | |

|NAME & ADDRESS OF CONTRACTOR |

| |

|PROJECT DESCRIPTION |

| |

| | | | | | | | | | | | | | |ITEM | |

| | | | | | | | | | | | | | |NO. | |

| | | | | | | | | | | | | | |DESCRIP| |

| | | | | | | | | | | | | | |TION OF| |

| | | | | | | | | | | | | | |ITEM | |

| | | | | | | | | | | | | | |(includ| |

| | | | | | | | | | | | | | |e | |

| | | | | | | | | | | | | | |Model, | |

| | | | | | | | | | | | | | |Serial | |

| | | | | | | | | | | | | | |#, etc)| |

|TOTALS | | | | | | | | | | | | | |QUANTIT|STORED |

| | | | | | | | | | | | | | |Y |PREVIOU|

| | | | | | | | | | | | | | | |S |

| | | | | | | | | | | | | | | |REPORTI|

| | | | | | | | | | | | | | | |NG |

| | | | | | | | | | | | | | | |PERIOD |

| | | | | | | | | | | | | | |AMOUNT | |

| | | | | | | | | | | | | | |QUANTIT|USED |

| | | | | | | | | | | | | | |Y |DURING |

| | | | | | | | | | | | | | | |THIS |

| | | | | | | | | | | | | | | |REPORTI|

| | | | | | | | | | | | | | | |NG |

| | | | | | | | | | | | | | | |PERIOD |

| | | | | | | | | | | | | | |AMOUNT | |

| | | | | | | | | | | | | | |QUANTIT|ADDED |

| | | | | | | | | | | | | | |Y |THIS |

| | | | | | | | | | | | | | | |REPORTI|

| | | | | | | | | | | | | | | |NG |

| | | | | | | | | | | | | | | |PERIOD |

| | | | | | | | | | | | | | |AMOUNT | |

| | | | | | | | | | | | | | |QUANTIT|BALANCE|

| | | | | | | | | | | | | | |Y |END OF |

| | | | | | | | | | | | | | | |THIS |

| | | | | | | | | | | | | | | |REPORTI|

| | | | | | | | | | | | | | | |NG |

| | | | | | | | | | | | | | | |PERIOD |

| | | | | | | | | | | | | | |AMOUNT | |

|TOTAL STORED MATERIAL | |

|(Transfer To Form DPMC 11-2) | |

|SUBMITTED BY: |RECOMMENDED BY: |

| |CONTRACTOR SIGNATURE | |DATE | | |ARCHITECT/ENGINEER OR CONSTRUCTION MANAGER | |DATE | |

|APPROVED BY: |

| |OCS DISTRICT SUPERVISOR | |DATE | |

| |

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