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Ex. G

SAMPLE "ACTION" SHEET RE COMPROMISE

Name of Case v. United States
Fed. Cl. No. 00-000 T
D. J. File No. 154-000-00
CMN 0000000_____________

Offer dated 00/00/00 is accepted [rejected].

___________________________ Date

___________________________ NAME, IN ALL CAPITAL LETTERS Chief Civil Trial Section _________          [or] Chief Court of Federal Claims Section

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SAMPLE "ACTION" SHEETS RE COMPLETE OR PARTIAL CONCESSION

COMPLETE CONCESSION:

Name of Case v. United States
Fed. Cl. No. 00-000 T
D. J. File No. 154-000-00
CMN 0000000_____________

Concession is approved.

___________________________ Date

___________________________ NAME, IN ALL CAPITAL LETTERS Chief Civil Trial Section _________          [or] Chief Court of Federal Claims Section

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PARTIAL CONCESSION:

Name of Case v. United States
Fed. Cl. No. 00-000 T
D. J. File No. 154-000-00
CMN 0000000___________________

Concession of the issues in Counts 2 and 4 of the complaint is approved.

___________________________ Date

___________________________ NAME, IN ALL CAPITAL LETTERS Chief Civil Trial Section _________          [or] Chief Court of Federal Claims Section

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Title Page || Contents || Section I || Section II || Section III
Section IV || Section V || Section VI || Appendices
Table of Cases and Authorities