Submittal Transmittal Form

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CCTV Modifications - Porthill LPOE
Solicitation number
47PL0118R0013
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SUBMITTAL FORM

TO:General Services Admin. (GSA)FROM:Contractor NameDate of Submittal
Attention:
904 W Riverside Ave
Spokane, Washington
CONTRACT NUMBERSUBMISSION NUMBERSUBMITTAL

NEW RESUBMITTAL

PREVIOUS SUBMISSION NUMBER:PROJECT NAME:
TO BE COMPLETED BY CONTRACTORFOR GOVERNMENT USE ONLY
ITEM
NO.SPECIFICATION SECTION/
PARA NO./DRAWING NO.DESCRIPTION OF SUBMITTALApprovedApproved with commentsRejected
FOR PRIME CONTRACTOR USE ONLY
I have reviewed the above Material/Items, and the items comply with all specifications of the contract
DATETYPE OR PRINT NAME AND TITLESIGNATURE

COR/PROJECT MANAGER'S COMMENTS

COR/PROJECT MANAGER
DATETYPE OR PRINT NAME OF COR OR Project ManagerSIGNATURE

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