The Contracting representative: Authority’s ___________________________________________________________ (Title, name, surname) ___________________________________________________________________________ (The Contracting name, address, Reg. No. and other details) Authority’s The representative: Supplier’s _________________________________________________________ (Title, name, surname) (The name, address, Reg. No. and other details) Supplier’s THIS SAMPLE FORM IS APPROVED BY: The Contracting Authority: The Supplier: State Police Reg. No.90000099040 Deputy Head Andrejs Grišins ______________________ ______________________ L.s. Signature L.s. Signature
The Contracting Authority’s representative: ___________________________________________________________ (Title, name, surname) ___________________________________________________________________________ (The Contracting Authority’s name, address, Reg. No. and other details) The Supplier’s representative: _________________________________________________________ (Title, name, surname) (The Supplier’s name, address, Reg. No. and other details) THIS SAMPLE FORM IS APPROVED BY: The Contracting Authority: State Police Reg. No.90000099040 Deputy Head Andrejs Grišins ______________________ L.s. Signature The Supplier: ______________________ L.s. Signature
793-2017.08.16.0658,143683.docx