VA786-15-Q-0370 ATTACHMENT 5 SF 1413.PDF

Published: 08/04/2015

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STATEMENT AND ACKNOWLEDGMENT OMB Control Number: 9000-0014 Expiration Date: 12/31/2014 PART I - STATEMENT OF PRIME CONTRACTOR 1. PRIME CONTRACT NO. 2. DATE SUBCONTRACT AWARDED 3. SUBCONTRACT NUMBER 15b. TITLE OF PERSON SIGNING AUTHORIZED FOR...

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