M67001-17-Q-0018_Technical_Exhibit_1.doc

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Barracks Washer & Dryer Maintenance & Repair
Solicitation number
M67001-17-Q-0018
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M67001-17-Q-0018 Technical Exhibit 1 Request for Installation/Relocation/Removal Form

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M67001-17-Q-0018-0001_Attachment_2.pdf PDF
M67001-17-Q-0018-0001.pdf PDF
M67001-17-Q-0018_RFQ.pdf PDF
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M67001-17-Q-0018_Technical_Exhibit_2.doc DOC document
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M67001-17-Q-0018

Technical Exhibit 1

REQUEST INSTALLATION / RELOCATION / REMOVAL

INSTALLATION RELOCATION REMOVAL

BUILDING NUMBER______________

DATE OF REQUEST

REMOVE WASHERS AND DRYERS IN BARRACKS DUE FOR RENOVATION

WASHER MODEL

DRYER MODEL

WASHER ID#
WASHER SERIAL #
DRYER ID #
DRYER

SERIAL #

REQUESTOR: _______________DATE: ____________________PHONE: _______________

CONTRACT OFFICERS REPRESENTATIVE: ____________

SIGNATURE: ____________

CONTRACTOR: ____________________________

CONTRACTOR SIGNATURE: ____________________

DATE COMPLETED: ___________

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