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Yerforming Agency and Location

Quarterly Period Covercdl July-30 Sept 73

Totals This Period

Totals .To Date

L. Hanhours Expended

2. Percentage of Work Completed

3. Cost Brcakdoin (as appropriate):

b. Labor

c. Enginecring

d. Manufacturing

e:.Proof Tcsting

f. Travel and Transportation

4. -Obligations Incurred

5. Contracts Let: Nane of Contractor

6. Sury of Work Perforned:

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