Certificate_of_Technical_Data_Destruction.doc

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ACOG Kit
Solicitation number
W56HZV-13-R-0104
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Certificate of Technical Data Destruciton. doc

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CERTIFICATE OF TECHNICAL DATA DESTRUCTION

Solicitation W56HZV-13-R-0104 The undersigned hereby certifies that the technical data provided by the U.S. Government under solicitation W56HZV-13-R-0104 and/or any resultant contract has been destroyed along with any copies in any form (CD, electronic file, print, etc.) and further certifies that no copies in any form whatsoever have been retained. A Certificate of Technical Data Destruction has been obtained from all subcontractors and vendors, if any, receiving a copy of the drawings or data contained therein, and said Certificates are attached.

Authorized Signature

Printed/Typed Name

Company Name

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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

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