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PE50975 Acknowledgement Form
01/12/05
To: DRS TEM’s Purchasing Department
I, ______________________________, holding the
position of Quality Manager for this facility located at
________________________________________
________________________________________
________________________________________
________________________________________
Verify that I have downloaded and distributed
this document. PE50795, Revision XB
to the necessary individuals and all of our
additional facilities within my organization.
I, also, confirm to DRS TEM that all controlled
copies of the previous revisions
of this document (Hard and Electronic copies)
have been destroyed.
Further it is acknowledged that we have read
the document, understand the
requirements and any and all issues with it
have been addressed and closed between
us and DRS TEM.
Company’s
name________________________________________
Quality Manager Signature
________________________________
Print Name_______________________________
Date
____________________________________
Instructions:
After completing this form please E-Mail or Fax
back to Mark Burgeson
Fax 256-895-2471 or E-Mail MBurgeson@DRS TEM.com
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