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1. REQUISITION NO.SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS OFFER OR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30 2. CONTRACT NO.3. AWARD/EFFECTIVE AVERAGE 1 OF4. ORDER NO.5. SOLICITATION NUMBER6.

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va263-16-r-0507 is a form used for reporting certain financial information to the government.

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