Attachment 6 - Customer Info Sheet.docx
DOCX document 15 KB Posted
- Attached to
- Healthcare Environmental Cleaning, Kimbrough Ambulatory Care Army Medical Center (KACC), Fort Meade, MD
- Solicitation number
- W81K04-22-R-0016
- Issued by
-
Department of the Army Medical Command
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Text version
CUSTOMER REFERENCE INFORMATION SHEET
CUSTOMER INFORMATION
Company Name
Street Address
City/State/Zip
POC Information
First Name
Last Name
Email Address
Phone Number
Fax Number
CONTRACT INFORMATION
Solicitation Number
Contract Number
TO Number
Dollar Value
Period of Performance
Type of Services (I, II, III, IV, V, VI, etc.)
Square Footage
CONTRACTING AGENCY INFORMATION (if different than above)
Contracting Agency
Contracting Officer
Street Address
City/State/Zip
Email Address
Phone Number
Fax Number
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