M67001-16-T-0005_Technical_Exhibit_2.pdf

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Repair and maintenance of electric washers & dryers
Solicitation number
M67001-16-T-0005
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M67001-16-T-0005 Technical Exhibit 2

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M67001-16-T-0005 Technical Exhibit 2

REPORT INSTALLATION/RELOCATION/REMOVAL

INSTALLATION RELOCATION REMOVAL

BUILDING NUMBER_____________________________ DATE OF REQUEST_________________

1ST DECK WASHERS DRYERS

ID NUMBERS SERIAL NUMBERS ID NUMBERS SERIAL NUMBERS

2 ND DECK WASHERS DRYERS

3RD DECK WASHERS DRYERS

ORGANIZATION: __________________________________

REQUESTOR :___________________________ DATE:_______________ PHONE:___________________

CONTRACTING :________________________________ SIGNATURE:_______________________________

CONTRACTOR:_____________________________

CONTRACTOR SIGNATURE: ______________________________ DATE COMPLETED:_________

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