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11316 Co CPz'y HUZIl ANG j" re IIa41, NE 5741235-9251 <br />22'7 ?No- �r�s crvIl3�Ue vns�r� t ; ° V FAx 5741235.917Q <br />5cytrurKl ,➢Sar)7:avA66(Dl-QB 0 rmnmw TDD .574/23.5-5567 <br />9865 <br />BOARDOF PUBLIC WORKS <br />Project No.: 119-055R <br />ACKNOWLEDGEMENT OF RE CEIPT OF ADDENDUM <br />Date Received: D le - <br />This addendum is being forwarded to you for the above referenced project. <br />Please sign below and acknowledge receipt of this Addendum by <br />faxing this sheet to the Board of Public Works at (574) 235-9171 <br />within 48 hours of receipt. A copy MUST also be included with your <br />bid package upon submittal. <br />THIS ADDENDUM MAY AFFECT YOUR BID. <br />Notes; <br />The attached documents are hereby added to the Specifications and Contract <br />Documents and become a part of herein. <br />Company: __.. _ .. /"' t� te-e $ <br />Authorized Signature: <br />Date: 1. 2,0 <br />