36C10G18Q0079-005.doc

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Operating Room (OR) Lights and Booms
Solicitation number
36C10G18Q0079
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36C10G18Q0079 36C10G18Q0079 Attach E RFIForm.doc

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REQUEST FOR INFORMATION

36C10G18Q0079 Surgical Room Lights and Booms

Page 1 of ____

TO: STRATEGIC ACQUISITION CENTER

DATE: _________________

Attention: Susan Swanson, Contract Specialist

10300 Spotsylvania Avenue, Suite 400 Fredericksburg, Virginia 23824-6316

EMAIL: susan.swanson3@va.gov FROM: (Vendor information)

TELEPHONE NO.

FAX NO/EMAIL_ _________________

INFORMATION REQUESTED:

RESPONSE FROM ADDRESSEE:

DATE OF REPLY: __________________

COR SIGNATURE _______________________

DATE OF RETURN: _________________

CO SIGNATURE _________________________

FOR GOVERNMENT USE ONLY – RFI NUMBER _________

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