1207 Business Park Dr Phone 937.384.

0426
Suite G&H
Mission,TX 78572

FIRST PIECE APPROVAL

Attention Incoming Inspection!

The enclosed assembly is being sent to you for your approval.It is the first piece of the production run. Please review it to ensure that is satisfies your
requirements. Once the assembly has been approved please send a copy of this form to Jeff Trosper, jefft@cbc-connect.com. After we receive
confirmation we will begin full production as appropriate.

Sincerely,
Jeff Trosper
Branch Manager
Customer Date Sent

Part Number Rev PO Number CBC Approved by: Date

Notes or exceptions:

(Below dotted line to be filled out by Costumer)

Inspected by: Date

Signature Title

Approve YES NO

Comment

Please respond as soon as possible so that we can begin full production

FM-CAL-94-12-02
 Historial de revisiones

Revisión Fecha Modificación Emisor

(MM/AA/AAA)
0 09/15/2012 Emission Jeff Trosper
1 09/18/2012 Correct spelling errors Jeff Trosper
Description was changed and fax number was
2 12/5/2023 Jeff Trosper
deleted