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 LANTNAVFACENGCOM A&E GUIDE
CONTRACTORS RELEASE
Date
NAVFAC 43307 (6-72)
S/N 0105-LF-9100
0224-6 (6-90)
(1)
CONTRACTOR'S RELEASE UNDER CONTRACT
(2)
KNOW ALL MEN BY THESE PRESENTS: In consideration of the premise and the sum of
($
)
lawful money of the United States of America (herinafter called the "Government")
(3)
($
)
of which has already been paid and
(4)
($
)
by the Government under the above-mentioned contract, the undersigned Contractor does, and by the receipt of said sum shall,
for itself, its successors and assigns, remise, release and forever discharge the Government, its officers, agents, and em-
ployees, of and from all liabilities, obligations and claims whatsoever in law and in equity under or arising out of said contract.
IN WITNESS WHEREOF, this release has been executed this
(5)
day of
19
WITNESS:
(6)
(Contractor)
(9)
BY:
(7)
(8)
TITLE:
CERTIFICATE
(10)
I,
certify that I am the
secretary
of the corporation named as Contractor in the foregoing release; that
who signed said release on behalf of the Contractor was then
of said corporation;
that said release was duly signed for and in behalf of said corporation by authority of its governing body and is within the
scope of its corporate powers.
(Corporate Seal)
1-19
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