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CERTIFICATE OF COMPLIANCE

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Attention: Receiving Inspection

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THIS CERTIFICATE

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OF COMPLIANCE

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MUST BE

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COMPLETED AND

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Quantity:

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RETURNED WITH
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Shipping Date:
YOUR SHIPMENT
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We hereby certify that all items in the above shipment BEFORE YOUR
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have
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INVOICE CAN BE
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PROCESSED FOR
PAYMENT
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Name:
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Title:
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Address
Phone, Fax, etc

CERTIFICATE OF COMPLIANCE

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To:

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Purchase Order #:

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 CERTIFICATE OF COMPLIANCE

Purchase Order#: Item#:

Part#: Quantity:
Designation: Serial#:
Mfg. Document#: Procedure#:
Witnesses:

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Address
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CERTIFICATE OF COMPLIANCE FOR MILITARY PRODUCT

Distributor Supplier Customer
Name: Name: Name:

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Address: Address: Address:

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Manufacturer’s Name:

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Date Code / Lot# Inspection Document Qty Shipped
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We hereby certify
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Address
Phone, Fax, etc

CERTIFICATE OF COMPLIANCE FOR COMMERCIAL PRODUCT

Distributor Customer
Name: Name:

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Address: Address:

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City: City:

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State / ZIP: State / ZIP:

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Phone: Phone:

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Authorized Signature:
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Date:
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Your Logo Your address, phone, fax etc

CERTIFICATE OF CONFORMANCE
Supplier:

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Part#:

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PO#:

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It is hereby certified

Name: Date
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Your Logo Your address, phone, fax etc

CERTIFICATE OF CONFORMANCE
Buyer PO#:
Buyer Item#:
Buyer PO P/N:

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Quantity:

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Seller’s Authorized Quality Representative Date

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 CERTIFICATE OF CONFORMANCE
BUYER REQUIRED DRAWINGS, EO’s,
SPECIFICATIONS AND DEVIATIONS-WAIVERS
Drawing Rev Specification Rev EO# Deviation-Waiver

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Your Logo Your address, phone, fax etc

CERTIFICATE OF CONFORMANCE
PO#: Quantity:
P/N: P/N Rev:
P/N Name: Item#:

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Mfr’s Lot#: PO# to Mfr:

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Authorized Quality Representative Title Date

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1. PART OR MATERIAL CERTIFICATION FORM ATA Specification:
2. Seller’s Name: 3. Reference Number:
4. Organization: Phone:
Fax:

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5a. Seller’s Contract Number: 5b. Buyer’s Contract Number:

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* (Optional) Installer must cross check eligibility with applicable technical data.
Copyright © JnF Specialties, LLC. All rights reserved worldwide. www.quality-control-plan.com/copyright.htm