Entry_Authority_List_Request.docx

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Attached to
Rebuild/Recore Radiators, Bldg 1395, Patrick AFB Florida Federal contract opportunity
Solicitation number
FA2521-13-Q-A005
Issued by
Department of the Air Force Space Command

About this file

EAL Request_ The attached form is to be completed and returned via email to Mr. Kevin Brisco. The completed form is required no later than 4PM-EST on 10 Sep 2013 to ensure access to the site visit scheduled on 12 Sep 2013 at 9AM-EST.

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Text version

Entry Authority List Request TO: 45th Security Forces

FROM: 45 CONS / LGCAA

DATE(S) REQUESTING ENTRY: 12 SEP 13

TIMES REQUESTING ENTRY: 0815

TYPE OF EVENT: SITE VISIT – BLDG. 1395

The following are the individuals I am requesting access for:

NAME
D.O.B.
Driver’s License Number
Vehicle Tag Number (if applicable)
Issuing State
SSN

(if not Florida)

If you have any questions concerning this matter, call # 494-9941

Sincerely,BENJAMIN P. CRAFTON – Contracting Officer
**45th Security Forces Use Only**

APPROVAL DATE:

AUTHENTICATED BY:

FOR OFFICAL USE ONLY

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