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Boeing Commercial Airplanes (BCA) Terms and Conditions

DAC 26-798 (Rev. 06-89)
SELLER'S CERTIFICATION OF SCRAP AND DISPOSAL

P/N________________________

PO/Contract No.____________________

PO/Contract Qty  _______

QTY SCRAPPED & DISPOSED OF   ____________________ PCS/ITEM No.    ____________________

FROM (33-68) CONTRACT  ITEMS SPECIFICATION AND SCHEDULE

VIR No.                                                AND/OR (SELLER/DAC) REJECTION TAG No.                      

DISPOSAL METHOD (CHECK APPROPRIATE BLOCK[S])

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PART(S) OR MATERIAL(S) MUTILATED TO SUCH AN EXTENT THAT IT COULD NOT POSSIBLY BE USED FOR IT'S ORIGINALLY INTENDED PURPOSE.

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PART(S) OR MATERIAL(S) CUT IN TWO (2) OR MORE SEGMENTS.

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OTHER METHOD THAT EFFECTIVELY DESTROYS THE PART(S) OR MATERIAL(S).

                                                                             

BRIEF DESCRIPTION OF OTHER METHOD _______________________

__________________________________________________________

__________________________________________________________

I, THE UNDERSIGNED, AN OFFICER OF THE COMPANY DO HEREBY CERTIFY THAT PART(S) OR MATERIAL(S) NOTED ABOVE WERE SCRAPPED AND DISPOSED OF IN THE MANNER INDICATED. (REJECTION DOCUMENTATION ATTACHED.)

                                                                             

SIGNATURE ______________________________________________
NAME (TYPED) ___________________________________________
TITLE  ___________________________________________________

_________________________________________________________

DATE ___________________________________________________
NOTE: REJECTION DOCUMENTATION MUST BE ATTACHED TO THIS CERTIFICATE.
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