GSA FORM 139.pdf
PDF 41 KB Posted
- Solicitation number
- 47PF0020R0060
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Text version
TIME OFPRINT NAME
(Last - First - Initial)
(b)
SIGNATURE
(c)
RECORD OF TIME OF ARRIVAL AND DEPARTURE
FROM BUILDINGS (DURING SECURITY HOURS)
BUILDING MONTHYEAR
DATE
(a)
AGENCY OR FIRM
(d)
PURPOSE OF VISIT
(f)
ROOM
NUMBER
(e)
SEE
FOOTNOTE*
(g)
ARRIVAL
(h)
DEPARTURE
(i)
* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.
GENERAL SERVICES ADMINISTRATION GSA 139 (REV. 12/2006)(Continue on reverse)
GSA 139 (REV. 12/2006) BACK
TIME OFPRINT NAME
(Last - First - Initial)
(b)
SIGNATURE
(c)
DATE
(a)
AGENCY OR FIRM
(d)
PURPOSE OF VISIT
(f)
ROOM
NUMBER
(e)
SEE
FOOTNOTE*
(g)
ARRIVAL
(h)
DEPARTURE
(i)
* Federal Protective Service and Contract Administration personnel, when conducting an investigation, must place an "X" in this column.
File details come from the government source that posted it. Updated .