Attach 3_data item transmittal.pdf

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Tier 1 (Desktop Polymer) Additive Manufacturing System (AMS)
Solicitation number
N68520-21-R-0013
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DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM

N68520-21-R-0013

CLIN/CDRL: TITLE:

Block 14 Distribution:

Other: __

Doc. Ref. No.: Date: _

From:

To:

The above detailed CDRL item is forwarded for review and acceptance/ rejection.

Sincerely, Signature:

Typed Name/Title:

FIRST ENDORSEMENT: Date Received:

( ) Accepted.

( ) Accepted. Attached comments must be incorporated into the next scheduled submission. (This block is for use with periodically submitted items only.)

( ) Rejected, comments attached. Change pages ( ) are ( ) not sufficient for correction. Contractor is allowed ( ) 30 days or ( ) days to resubmit.

Signature:

Typed Name/Title:

Code: Date:

VIA: Date:

VIA: PD Date:

SECOND ENDORSEMENT:

( ) Accepted.

( ) Accepted conditionally. Attached comments must be incorporated in the next scheduled submission.

( ) Rejected, comments attached. Resubmit no later than .

Signature:

Typed Name/Title: Date:

Contracting Officer

CC w/Encl.:

CC w/o Encl.:

PEO STRI 4330/60 Attachment (3)

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