Exhibit_04_Firearm_Certification_ABWNC.pdf
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- TIRMS-17-R-00003
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EXHIBIT 04 - FIREARM CERTIFICATION
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Exhibit 4
FIREARM QUALIFICATION CERTIFICATION
CONTRACT NUMBER: ____________________________________
ARMED SECURITY OFFICER:______________________________
Print Name
RANGE LOCATION /NAME: ________________________________
FIREARM MAKE/MODEL/SER # _____________________________
COURSE OF FIRE:_______________ TARGET:_________________
DATE: _______________________ TIME: ____________________
INSTRUCTOR: ___________________________________________
(Signature)
IRS REPRESENTATIVE:____________________________________
(Signature)
SCORE: ________________________ EXPIRES: ________________
(Date)
(THIS CARD MUST BE CARRIED AT ALL TIMES WHILE ON DUTY)
DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
WASHINGTON, DC 20224
File details come from the government source that posted it. Updated .