Standard Form 30 - Amendment Of Solicitation/modification Of Contract Page 28
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45CONTRACT NO.
DELIVERY ORDER NO.
AMENDMENT/MODIFICATION NO.
PAGE
FINAL
N00178-05-D-4203
4Y01
24
26 of 43
LLA :
BV 97X4930 NH2A 255 77777 0 050120 2F 000000 A20001296794
TO:
6 5 0 0 0 6
1 3 0 0 2 8 6 3 4 2 0 0 0 0 2
1 5 9 0 . 0 0
L L A
:
B U
9 7 X 4 9 3 0
N H 2 A
2 5 5
7 7 7 7 7
0
0 5 0 1 2 0
2 F
0 0 0 0 0 0
A 1 0 0 0 1 2 9 6 7 9 4
4 2 0 0 1 2
1 3 0 0 2 8 6 3 4 2 0 0 0 0 2
1 5 5 5 0 5 . 0 0
L L A
:
B U
9 7 X 4 9 3 0
N H 2 A
2 5 5
7 7 7 7 7
0
0 5 0 1 2 0
2 F
0 0 0 0 0 0
A 1 0 0 0 1 2 9 6 7 9 4
T O :
4 2 0 0 1 5
1 3 0 0 2 8 6 3 4 2 0 0 0 0 4
1 5 5 5 0 5 . 0 0
L L A
:
B X
9 7 X 4 9 3 0
N H 2 A
2 5 5
7 7 7 7 7
0
0 5 0 1 2 0
2 F
0 0 0 0 0 0
A 3 0 0 0 1 2 9 6 7 9 4
6 4 0 0 0 6
1 3 0 0 2 8 6 3 4 2 0 0 0 0 2
5 9 3 8 . 0 0
L L A
:
B U
9 7 X 4 9 3 0
N H 2 A
2 5 5
7 7 7 7 7
0
0 5 0 1 2 0
2 F
0 0 0 0 0 0
A 1 0 0 0 1 2 9 6 7 9 4
T O :
6 4 0 0 0 8
1 3 0 0 2 8 6 3 4 2 0 0 0 0 4
5 9 3 8 . 0 0
L L A
:
B X
9 7 X 4 9 3 0
N H 2 A
2 5 5
7 7 7 7 7
0
0 5 0 1 2 0
2 F
0 0 0 0 0 0
A 3 0 0 0 1 2 9 6 7 9 4
ESTIMATED
ITEM (S) ALLOTTED TO COST ALLOTTED TO FEE PERIOD OF PERFORMANCE
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