SAMPLE

XYZ Company

SUPPLIER REPORT CARD

Supplier: ABC Company                                                                    Supplier Code: 4567

Rating Period: Dec/29/95 - Mar/29/96

XYZ Company Representatives

Purchasing Signature:                                                                                           Date:

Quality Signature:                                                                                                 Date:

Supplier Representative

Supplier Signature:                                                                                               Date:

Comments:                                                                                                                  

1.0 QUALITY PERFORMANCE

                 Number Pieces Received      Number Pieces Rejected       Piece Performance Index

(For rating period)     25,637.8                              0                                           100.000%

(Last 6 months)         59,519                                 3                                            99.99%

(Last 12 months)       112,951                               23                                          99.98%

Comments:

2.0 DELIVERY PERFORMANCE

                  Total Receipts                         Total Receipts On-Time                 % On-Time

(For rating period)     45 4                                     450                                        99.12%

(Last 6 months)         870                                      865                                        94.82%

(Last 12 months)       1,749                                   1,702                                     97.31%    

Comments:

3.0 COST PERFORMANCE

Meets Expectations (For rating period)

Meets Expectations (Last 12 months)

Comments:

4.0 SERVICE AND SUPPORT

Meets Expectations (For rating period)

Meets Expectations (Last 12 months)

Comments:

5.0 SUPPLIER CLASSIFICATION

Preferred: Exceeds Expectations

Comments:

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