36C25618U0122-007.docx

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Cough Assist T70
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36C25618U0122
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36C25618U0122 Attachment B - List of Past Performance References.docx

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ATTACHMENT B – LIST OF PAST PERFORMANCE REFERENCES

PAST PERFORMANCE REFERENCES

REFERENCE 1:

Contracting Activity Name:_________________________________ Location:_____________________________________ Contract Number:______________________________ Point Of Contact:______________________________ Telephone Number:____________________________ Dollar Amount:__________________ Brief Description of Services Provided: _______________________________________

REFERENCE 2:

Contracting Activity Name:_________________________________ Location:_____________________________________ Contract Number:______________________________ Point Of Contact:______________________________ Telephone Number:____________________________ Dollar Amount:__________________ Brief Description of Services Provided: _______________________________________

REFERENCE 3:

Contracting Activity Name:_________________________________ Location:_____________________________________ Contract Number:______________________________ Point Of Contact:______________________________ Telephone Number:____________________________ Dollar Amount:__________________ Brief Description of Services Provided: _______________________________________

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