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E") 5. SUPPLYING ACTIVITY 6. RECEIVING ACTIVITY a. NAME AND ADDRESS a. NAME AND ADDRESS b. MAJOR COMMAND b. MAJOR COMMAND 7. SUPPORT PROVIDED BY SUPPLIER a. SUPPORT (Specify what, when, where, and how much) b. BASIS FOR REIMBURSEMENT DTIC will provide support under the (enter IAC Name example: HDIAC) Contract (enter contract number and TAT number example: HD-14-0885). Effective Date (box 3) - The effective date must be completed. The effective date must match the date signed.
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