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Printed Name Kylie Carter <br />Title Events Coordinator for DTSB <br />("'�) r)RD OF PUBLIC WO S APPROVAL <br />1. resident Member ... _......._ ...._ _ Mem <br />ber <br />Member Member Dat <br />RETURN FORM TO: 4 <br />Board of Public Works <br />1316 County -City Building <br />227 West Jefferson Boulevard <br />South Bend, IN 46601 <br />Phone: (574) 235-9251 s Fax: (574) 235-9171 <br />