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08/18/2017 19:33 15742340338 MARTIN <br />PAGE 03 <br />Printed Name <br />Tine <br />O OF PU LIC WOR S APPROVAL <br />President 4ember N�enrtber <br />j/. <br />Member \ Me ber Date <br />RE°1 FIN FORM TO: <br />Board of Public Works <br />1316 County -City Huddips <br />227 West Jef1'erxon Boulevard <br />South Bend, IN 4664E <br />Kom; (574) 235-9251 • Fax: (574) �35-9171 <br />