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		                             National Stock Number: 7540-01-458-4701
  Federal Supply Class: 7540
  National Item Identification Number: 014584701
  Description: FORM,PRINTED
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  Manufacturer Information:
 | 98-0541 | 89875 | DEFENSE LOGISTICS AGENCY DIRECTORATE OF MEDICAL MATERIEL DEFENSE SUPPLY CENTER PHILADELPHIA |  | DDFORM577 | 80244 | GENERAL SERVICES ADMINISTRATION FEDERAL SUPPLY SERVICE |   
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