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Address: all/ YD /S Lw <br />City/State/Zip: )Q66U?% I/V Telephone Number: (Vy) 130 ^ to f( S 8 <br />ByL✓ <br />(Signature) <br />%"!lank Hasx�r <br />(Printed Name of Person Signing) <br />Version 10/18/2016 Contractor's Bid for Public Works - 8 <br />