11th ACVVC

VENDOR INVENTORY AND REVENUE FORM

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OPENING INVENTORY DATE:  ______AUGUST 4 2005__

ITEM DESCRIPTION: _____11th CAV WIDGET__________

[A] ITEM RETAIL PRICE                 $_25.00________

[B] LESS 11ACVVC COST              <$ 19.00_____>

[C] 11ACVVC MARGIN                  $_ 6.00________

[D] INVENTORY COUNT OF ITEM RECEIVED BY QUARTERMASTER:            #__50_____

/S/_____________________              /S/_____________________

           Vendor                                                               Quartermaster

CLOSING INVENTORY DATE:  _____ AUGUST 7 2005____

[E] INVENTORY COUNT OF ITEM RETURNED TO VENDOR:                         #___15____

[F] NUMBER OF ITEMS SOLD [D] – [E]                                                          #___35____

[G] REVENUE PAYABLE TO VENDOR [F] x [B]             $_665.00__

[H] 11ACVVC REVENUE [F] x [C]                                 $_315.00__

/S/_____________________              /S/_____________________

           Vendor                                                               Quartermaster