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ANNEX 1

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ANNEX 1 Subject: expression of interest to take part to the negotiated procedure pursuant to

article 36 of the paragraph 2 b) of the Code of public contracts, for the supply of # 1 machine for small punch creep tests for Inail research activities

I, the undersigned _____________________________________________________

Legal representative of (hence “the Company”) ______________________________

established in

Country _________________________________________________

City___________________

Address___________________

Zip code ________________

VAT Number ______________________

Tel ___________________ fax ______________

e-mail ______________________

Certified email (if available) _______________________

entitled to bind the company legally

having seen the participation requirements in the Market Survey notice

ASKS

to invite the Company to take part to the Negotiated procedure mentioned in the Subject.

Date, stamp and signature (readable) of the signer

____________________________________________________________________

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