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National Stock Number:
7540-01-458-2237
Federal Supply Class:
7540
National Item Identification Number:
014582237
Description:
FORM,PRINTED
Detail:
A printed or typed sheet form document with blank space or spaces for insertion of specific information. Excludes CARD, TABULATING, ELECTRIC ACCOUNTING MACHINE; PAPER, TABULATING MACHINE, CONTINUOUS FLAT FOLD; PAPER, GRAPH; INDICATING SLIP, DICTATING MACHINE; ENVELOPE (as modified); LABEL; CHART (as modified) and TAG (as modified).
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Manufacturer Information:
| 98-0600 | 89875 | DEFENSE LOGISTICS AGENCY DIRECTORATE OF MEDICAL MATERIEL DEFENSE SUPPLY CENTER PHILADELPHIA | | DA FORM 5570 | 4W874 | U S GOVERNMENT PRINTING OFFICE SUPERINTENDANT OF DOCUMENTS |
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Techincal Specification:
| DOCUMENT TITLE | HEALTH QUESTIONAIRE FOR DENTAL TREATMENT | | IDENTIFICATION DESIGNATOR | DA FORM 5570 | | PART NAME ASSIGNED BY CONTROLLING AGENCY | FORM PRINTED DA 5570 "HEALTH QUESTIONAIRE FOR DENTAL TREATMENT" | | SPECIAL FEATURES | 8 X 10-1/2 IN.; DA FORM 5570; TITLE: HEALTH QUESTIONAIRE FOR DENTAL TREATMENT |
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