Attachment 3B_Notice_Noncompliance.pdf
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ATTACHMENT 4
USDA Forest Service FS-6300-12 (10/83)
CONTRACT NUMBER:
WORK ORDER AND NOTICE OF NONCOMPLIANCE
(Reference FSH 6309.11) PROJECT:
[ ] WORK ORDER [ ] NOTICE OF
NONCOMPLIANCE
NAME AND ADDRESS OF
CONTRACTOR:
WORK ORDER OR NOTICE
NO.
DATE ISSUED
[ ] You are directed to perform the following work in connection with contract with no adjustment in contract time or price(s).
[ ] You are advised that the following work being performed or material being supplied or installed does not conform to the contract requirements and may result in rejection
This work is included in the contract as referenced below.
SIGNATURE TITLE
ACKNOWLEDGMENT -- PLEASE ACKNOWLEDGE RECEIPT OF THIS
NOTICE BY RETURNING
COPIES SIGNED IN THE SPACE BELOW:
Date / /
CONTRACTOR
By
Title
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