Attachment_4-DataItem_Transmittal_Acceptance_Rejection_Form.doc

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Attached to
Video Teleconferencing (VTC) Hardware and Ancillary Equipment
Solicitation number
N00421-17-R-0010
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Attachment 4-Data Item Transmittal Acceptance Rejection Form

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DATA ITEM TRANSMITTAL/ACCEPTANCE/REJECTION FORM

Contract : N00421-12-D-0007

CLIN/SLIN: / TITLE:

Block 14 Distribution:

Other:

Doc. Ref. No.: Date:

From:

To: Naval Air Warfare Center Aircraft Division, ADDRESS, ATTN: TPOC The above detailed CDRL item is forwarded for review and acceptance/ rejection. This item is due . The Government review period is days.

Sincerely, Signature: _____________________________________ Typed Name/Title: ______________________________

ENDORSEMENT: Date Received:

( ) Accepted.

( ) Accepted. Attached comments must be incorporated into the next scheduled submission.

( ) Rejected, comments attached. Change pages ( ) are ( ) not sufficient for correction.

Contractor is allowed ( ) 30 days or ( ) days to resubmit.

Signature:___________________________________________ Typed Name/Title:____________________________________

Code: Date:_______________

Return to Contractor Via: Date:

CC w/Encl.:

CC w/o Encl.:

File details come from the government source that posted it. Updated .