3 W 1200 N SUITE 100
PRINGVILLE, UT 84663
UPS - GROUND using customer acct# 10620
AS9100 / IS09001
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Work Order: 3598
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Date:
21/2019
NORTH PRY PARTENERS Morten, 3
8 Tremed Dr . ‘Purchose Ordert 364
“Terryville CT; 06786 ‘Customer Wor 272
Ship Tok Coc tunbers 369)
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MATERIAL Has BEN WeLTeD A QUALIEYING COUNTRY TO DFARS REQUIREMENTS 262.228.7014 WITH ALTERNATE 1
FOR QUALIFYING COUNTRY 226.072.1, SUPERSEDED BY DFAR REGUIREMANTS DFARS 25226-7608 ANU 282225-7008,
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QUANTITY; 110.000M FCS.
‘PART NOJREV/DESORIPTION: MS24693,2B REV. 4
440% 1/4" PHLLES 99/101° FLAT MS (2
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JOHN HELENEK Ul, PRESIDENT
AUTHORIZED COMPANY REPRESENT:
JH METAL FINISHING, INC,
BLACK OXIDE
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CERTIFICATION OF COMPLIANCE:
‘THIS 18 TO CHRTIPY THAT TEE MAI LISTED BELOW, HASBEEN
BLACK ONDEENISHEDIN ACCORD XB WITH SPECIFICATION} |. .
CUSTOMER: NORTH EAST FASTENERS FORPORATION f
PURCHASE ORDERNUMBER: 36585 | CUSTOMER POF 19057097019$9100 / ISO 9001
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CERTIFICATION OF TESTING
‘Tensile/Test
Dats} 062072019
Lot Number: 77201 Lat Siagk| 113.00
Heat Numbor: 772428
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Destylon 4.40 lip 901 Fat MS (24) 32H ‘Stonless DFARS Compliant bieb Oxide
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Customer Order Information
Boid"To: Bisco Industries, Ino.
Ship Date: 6/21/2019 WEF Past ir 4400,2600PFiMSDSSEI
P.0, He 19057047015 Boat es 772429
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Desert 4-40 x 14" Phillins 60/107" Flat MS| (2A) 50210 Stalnless OFARS
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DFARS 262,226-7008 :
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Compiles Block Onl MIFDTI- 139249 CL 4 -MS2469328 -4
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