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6F (1)
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05-31-12 Packet
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6F (1)
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11/1/2012 10:06:28 AM
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5/25/2012 12:10:18 PM
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5. Contractor shall not discriminate against any employee or applicant for <br />employment in the performance of this contract with privileges of employment, or any <br />matter directly or indirectly related to employment, because of race, religion, color, sex, <br />handicap, national origin or ancestry. Breach of this provision may be regarded as a <br />material breach of the contract. / <br />d/� <br />Dated this � day of,.�.._, 20 %/ <br />4 b 9 M Al a to (, 'onSvma.0 !►�L <br />Contrac idde /r (lFirm <br />i tl/ure of Contractor /Bidder or Its Agent <br />J <br />Printed Name and Title <br />Subscribed and sworn to before me this 5 -r'�F day of JUL -`t' , 20 11 <br />My Commission Expires <br />12 -04- 2-o14 <br />County of Residence <br />r <br />• .� <br />ST: J o SE p}} <br />JANICE L MUELLER <br />NOTARY PUBLIC <br />SEAL <br />STATE OF INDIANA <br />My Commission xpires December 4. 2014 <br />F- Non - Collusion Non - Debarment Affidavit Revised June 2011.doc <br />
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