W9127824Q0001 Solicitation-Attachment_2_Sample_Fingerprint_Card.pdf
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- Solicitation number
- W9127824Q0001
About this file
This solicitation requests proposals to provide park attendant services at various recreational areas within the U.S. Army Corps of Engineers Mobile District located in Alabama, Mississippi, Georgia and Florida. Services include general maintenance and upkeep of recreational facilities, grounds, and equipment. The solicitation was issued by the Department of the Army Corps of Engineers Engineering District Mobile. Responses are due by the date specified in the solicitation document. The contract will have an initial base year and four option years, and services will be performed between April and October each year. The solicitation includes a sample fingerprint card template to be completed by respondents.
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Text version
SF 87 (REV. DECEMBER
2017) US OFFICE OF
PERSONNEL
MANAGEMENT
E.O. 10450
SIGNATURE OF PERSON FINGERPRINTED
RESIDENCE OF PERSON FINGERPRINTED
LEAVE BLANK
R I s N
TYPE OR PRINT ALL INFORMATION IN BLACK EBI
LAST NAME NAM FIRST NAME MIDDLE NAME LEAVE BLANK
I SERIAL NO. (OPM USE ONLY) OCA
I~ l'PAC MISCELLANEOUS NO. MNU DATE OF BIRTH DOB
MONTH DAY
ALIASES AKA SEX I RACE ti GT. I ',<YGT. I EYES I HAIR PLACE OF BIRTH POB
DATE I SIGNATURE OF OFFICIAL TAKING FINGERPRINTS
LEAVE BLANK
TITLE AND.ADDRESS SCARS, MARKS, AND TATTOOS
CLASS
POSITION TO WHICH APPOINTED FBI NO. EB!
REF.
DEPARTMENT, BUREAU, AND DUTY STATION (CITY AND STATE) SOCIAL SECURITY NO. SOC
1. R. THUMB 2. R. INDEX 3. R. MIDDLE 4. R. RING 5. R. LITTLE
6. L. THUMB 7. L. INDEX 8. L. MIDDDLE 9. L. RING 10. L. LITTLE
LEFT FOUR FINGERS TAKEN SIMULTANEOUSLY L. THUMB R. THUMB RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY
YEAR
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