Pre-Production_Sample_Approval_Form.pdf
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- W9124D-18-Q-6214
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Department of the Army
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PRE-PRODUCTION SAMPLE APPROVAL FORM
DATE:___________________________________________
CONTRACT #:____________________________________
DELIVERY ORDER #:_____________________________
ITEM DESCRIPTION:_____________________________
PLEASE CIRCLE ONE:
APPROVED AS IS CHANGES REQUIRED
DESCRIBE REQUIRED CHANGES BELOW:
APPROVED/DISAPPROVED BY:
(Signature/Date)
NEW SAMPLE REQUIRED: ___ YES ___ NO (Check one)
PLEASE FAX FORM TO:
VENDOR NAME:______________________________________
VENDOR FAX #:______________________________________
VENDOR POC:_______________________________________
EMAIL ADDRESS:____________________________________
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