Attachment 0007 Certificate of Destruction.docx

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Attached to
60mm/81mm High Fragmentation (HF-1) and Non-High Fragmentation (Non-HF-1) Shell Bodies
Solicitation number
W15QKN-24-R-0004
Issued by

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This certificate of destruction form requires any entity that received technical data under solicitation W15QKN-24-R-0004 for 60mm/81mm high fragmentation and non-high fragmentation shell bodies from the Department of the Army Materiel Command Contracting Command Picatinny Arsenal to certify the destruction of that data and any copies. The authorized representative of the entity must sign the form certifying that all technical data and copies have been destroyed, with no copies retained in any form. Any subcontractors or vendors that received portions of the technical data must be listed along with their addresses.

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Text version

CERTIFICATE OF DESTRUCTION

The undersigned hereby certifies that the technical data provided by the U.S. Government under Solicitation W15QKN-24-R-0004 has been destroyed along with any copies in any form and further certify that no copies in any form whatsoever have been retained. Listed below, if applicable, is a list of subcontractors and vendors that received a copy of the technical data, or any portion thereof, in any format.

_______________________________ Authorized Signature

_______________________________ Company Name

_______________________________ Street Name

_______________________________ City, State, Zip Code

List of Subcontractors and Vendors that received a copy of the technical data, or any portion thereof, in any format, provided with the above referenced solicitation.

Name Address

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