Attachment 4-Visitor Badge Request Template.pdf
PDF 248 KB Posted
- Attached to
- Bldg 1471 HVAC Upgrade (AMENDMENT 01)
- Solicitation number
- FA251725Q0135
About this file
This document is a Visitor Pass Request memorandum from the 21st Contracting Squadron (21 CONS) of the United States Space Force at Space Base Delta 1. The memo requests a visitor pass for personnel supporting a Space Operations project, specifically the Building 1471 HVAC Upgrade, under contract number FA251725Q0135. The pass is requested for 16 September 2025, valid from 0700-1700 hours.
The memorandum is addressed to 21 SFS/S5B and requires the completion of a table with visitor information including last name, first name, date of birth, driver's license number, issuing state, and sponsor DoD number. The document is signed by Staff Sergeant Kaylie M. Anderson, Contracting Officer, who can be reached at 719-556-6673 for any questions regarding the visitor pass request.
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Text version
Semper Supra
CUI
CUI
DEPARTMENT OF THE AIR FORCE
UNITED STATES SPACE FORCE
SPACE BASE DELTA 1
MEMORANDUM FOR 21 SFS/S5B
FROM: 21 CONS
SUBJECT: Visitor Pass Request
1. The individual(s) identified below require a Visitor Pass to support PSFB with a Space Operations project. Contract # FA251725Q0135 Bldg 1471 HVAC Upgrade
2. Please provide the following information:
Last Name First Name Date of Birth Driver’s License Number
Issuing State
Sponsor DoD Number
3. Please make this pass valid for 16 September 2025 during the hours of 0700-1700.
4. If you have any questions, please call me at 719-556-6673.
KAYLIE M. ANDERSON, SSgt, USAF Contracting Officer, 21 CONS
9 September 2025
File details come from the government source that posted it. Updated .