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pdfGeneral Services Administration
RELEASE OF CLAIMS
The undersigned contractor, pursuant to the terms of Contract No.
between the United States of America and said contractor for the
located at
hereby release the United States from any and all claims arising under or by virtue of said contract or any modfication or change thereof except as follows: (Here list any claims against the Government and the amounts thereof.
If none, so state.)
Witness the signature and seal of the undersigned this
day of
CONTRACTOR
WITNESS:
(Print or type)
(Signature)
(Signature)
(Address)
(Official Title)
(Seal)
GSA FROM 1142 (REV. 12-74)
File Type | application/pdf |
File Modified | 2010-12-03 |
File Created | 1997-11-26 |