10-04
SOLICITATION FOR OFFERS
OUTPATIENT CLINIC
SFO NO. V101-183R-xxx-xxx-xx
[INSERT LOCATION OF FACILITY]
6.
The Lessor shall furnish to the Government, as part of the rental consideration, the following:
7.
The following are attached and made apart hereof:
8.
The following changes were made in this lease prior to its execution:
IN WITNESS WHEREOF, the parties hereto have hereunto subscribed their names as of the date first above written.
________________________________________________________________________________________________________________________
LESSOR
BY_____________________________________________________
______________________________________________________________
(Signature)
(Signature)
In Presence Of
_______________________________________________________
______________________________________________________________
(Signature)
(Signature)
________________________________________________________________________________________________________________________
UNITED STATES OF AMERICA
BY _____________________________________________________
____________________________________________ _________________
(Signature)
(Official Title)
Part IX Forms
Lessor __________ Gov't. __________
______of _____ Pages
GSA FORM 2 (REV 2/65)
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