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Figure C11.F10.

 

 

Certificate of Delivery

 

Pursuant to the provisions of the Lease Agreement executed [insert date] between our respective Governments, the undersigned as the authorized representative of the

Government Of

 

Purchaser

 

accepts the below described [insert defense articles] together with its on board equipment from

 

Authorized Representative

 

Authorized representative of the
United States

 

DoD Component

 

 

 

 

Item

Nomenclature

Quantity

 

BY

 

BY

 

Government of

 

Purchaser

 

Title

 

Title

 

Date

 

Date

 

U.S. Representative

Representative

 

Recommended distribution:

Original to:

MILDEP JAG

Copies to:

DSCA
MILDEP SA Activity
SCO
DFAS Indianapolis

 

Page Updated 02-12-2013