HomeMy WebLinkAbout322721 EXECUTED AND EFFECTIVE as of the date first above set forth.
2 CONTRACTOR
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Print Name & Title
6 2lO W. R_,
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9 DATE: 69-ltQ-\S
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14 APPROVED AS TO LEGAL FORM
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17 OR ACCOUNTING USE ONLY:
ORG No.: [click to type type o g
Account No.: [click to type type count]
18 Requisition No.: [click to type requisition number]
19 (5/07)
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ATIEST:
BERNICE E. SEIDEL, Clerk
Board of Supervisors
By~l4~~ ep ty
DATE:
REVIEWED & RECOMMENDED FOR
APPROVAL
Department Head's Signature
APPROVED AS TO ACCOUNTING
FORM
Audit or-Controller/Treasurer-Tax Collector