SUBJECT: Record of [U.S. Custody / U.S. Return] of Ukrainian Titled Defense Articles Date: [DD/MM/YYYY] This memorandum documents the U.S. Government [accepting / returning] physical custody of Ukrainian titled defense articles for Ukrainian requested repair or refurbishment effort. [Include if the U.S. Government is gaining custody] - While the U.S. Government will have physical custody of the defense articles, the U.S. Government is not accepting legal ownership of the provided defense articles and U.S. Government acceptance does not constitute a U.S. Government commitment to accomplish the requested repair or refurbishment. Identification and Condition of Defense Articles | [National Stock Number (NSN) if applicable, manufacturer, model number, serial number, quantity, and a detailed description of the article's condition. The U.S. Military Group (MILGP) or appointed U.S.-designated official coordinates with the IA that sourced the defense article to assess the condition to determine suitability to transfer custody to the USG since the articles will be shipped "as is." Photos should be included to confirm item description and condition. If photos cannot be included, provide as much information as possible.] | Legal Authority and Implemented BPC Case | [Citation of the specific legal authority (and/or USAI program and the BPC case identifier and line number as applicable) which may fund the potential repair or refurb efforts.] | Points of Contact | [Name, title, and contact information for both the U.S. Government and Ukrainian representatives responsible for the custody transfer.] | Location of Custody | [The specific, unclassified location where the defense articles are expected to be stored during U.S. Government custody.] |
U.S. Military Group (MILGP) or appointed U.S. designated official signature block: | | | | | Printed Name | | Signature | | Date |
Ukrainian Representative signature block: | | | | | Printed Name | | Signature | | Date |
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