Encl. (8) to COMDTINST 4610.6
Example of Pre-Shipment Value Statement
VALUE STATEMENT
Item:
Clock TD 1251/U
NSN:
Requisition Number:
Z50100-6075-0739
BL Number:
T0692473, 08/24/95
Date Purchased:
1989
Manufacturer:
Ace Industries, Inc.
Original Acquisition Cost:
$ 81,314.18
Replacement Cost 1995:
7,900.50
Life Expectancy:
20 years
(published in [give source])
Pre-shipment Condition:
Repairable
Current Need to Coast Guard:
Required
Standard Repair Cost 1995:
$ 4,596.00
Replacement cost
7,900.50
Depreciation
6 years @ ,395.03 per year
- 32,370.18
Value after depreciation
75,530.32
Standard repair cost 1995
-
4,596.00
Pre-shipment value
$ 70,934.32
Date:
____________________________
[Technically Qualified Person]
[Title]
[Location]