Attachment 3B_Notice_Noncompliance.pdf

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Road Maintenance on the Delta Ranger District of the National Forests in Mississippi
Solicitation number
12444221R0039
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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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