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R2004-68 ACCEPTING PROPOSAL
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R2004-68 ACCEPTING PROPOSAL
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Last modified
1/5/2016 4:01:09 PM
Creation date
1/5/2016 4:00:26 PM
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Resolution/Ordinance
Res Ord Num
R2004-68
Res Ord Title
ACCEPTING PROPOSAL ILLINOIS DEPARTMENT OF HUMAN SERVICES DIVISION OF REHABILITATION SERVICES - VENDING MACHINE OPERATOR
Approved Date
4/19/2004
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EXHIBIT A <br /> INELIGIBLE CONTRACTOR'S CERTIFICATE <br /> The , `.P�-C.-c� � �2c.�c,(� �1�i SP-'�%�-�'-.� <br /> (name f the co actor) <br /> hereby certifies that it is is not circle one) inclu ed on the U.S. C ptroller General's <br /> Consolidated List of Persons or Firms Currently Debarred for Violations for Various Public <br /> Contracts Incorporating Labor Standards Provisions. <br /> Company Name: � <br /> �-f � <br /> .2 t,C �-�i •.� <br /> Authorized�resentati : � r <br /> Title: � � <br /> � <br /> Signature: �- <br /> � <br /> Date: � <br /> 7 � <br /> - 16 - <br />
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