SITE_VISIT_2.doc

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OPTION - Janitorial @ NAS JAX
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20099917
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INFORMATION REQUESTED FOR ENTRANCE TO THE NAVAL AIR STATION JACKSONVILLE

INFORMATION REQUIRED

For entrance onto N.A.S. Jacksonville, the driver must have a current driver’s license and proof of insurance.

Each individual in the vehicle must send this information to Brenda Durant for input into the system. brenda.durant@dhs.gov Name:

Date of arrival and for how many days:

SSN:

Name of Business:

Home address and zip code:

Vehicle Model/Make:

Vehicle Year and Color:

Drivers License number and expiration date:

Expires:

Tag numbers of vehicle to be driven:

Thank you for your cooperation. Please include an e-mail address and or phone number in case I need further information. Passengers still need to include all information other than vehicle information.

Thank you, Brenda Durant, MSS

Jacksonville Air and Marine Branch

Hangar 1002 – N.A.S.

Jacksonville, FL 32212

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