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

 

DoW Component

 

 

 

 

 

 

Item

 

Nomenclature

 

Quantity

 

U.S. Representative

 

Representative

BY

 

 

BY

 

 

Government of

 

 

Purchaser

 

Title

 

 

Title

 

Date

 

 

Date

 

 

Recommended Distribution:

  • Original to:
    • MILDEP JAG
  • Copies to:
    • DSCA
    • MILDEP SA Activity
    • MILGP
    • DFAS Indianapolis