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##  "QUOTE D TIME & MEANS” C ERT IFICATE O F CONFORMITY 

## Annex C 

## FOR SPECIFIC CONTRACT No XX UNDER FRAMEWORK CONTRACT No ECHA/2020/666 

## Task (and Sub-task) Number …….. 

## Original document - duly signed - to be attached to the invoice 

## RECEIPT OF WORK 4 

To be filled in by the contractor and the contracting authority. 

<img src='content_image/502953.jpg'>

## ACCEPTANCE AND VALIDATION OF WORK 

To be filled in by the Contracting authority. 

<img src='content_image/502952.jpg'>

