Appendix A - Customer Complaint Record.pdf

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Attached to
SATCOM Milstar Building Maintenance and Repair
Solicitation number
FA460026Q0101
Issued by

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Customer Complaint Record Page of Contract Reference:

Nature of Complaint ( Complainant ) Validation ( Quality Assurance Evaluator (QAE) / Contracting Officer Representative (COR) ) Action Taken (Contractor ) Received and Validated (Contract Administrator ) 9.0.0.2.20120627.2.874785 Ratification Action

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Part-I--Statement-of-Facts:
Date:
Name: [ Name ]

[ Office Symbol, Phone Number ] [ Email Address ] Name: [ Name ] [ Office Symbol, Phone Number ] [ Email Address ] Name: [ Name ] [ Office Symbol, Phone Number ] [ Email Address ] Name: [ Name ] [ Office Symbol, Phone Number ] [ Email Address ] Signature:

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