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~d"rmqqlA~7A:"qry~ <br />~,,,. <br />__~;..~: <br />FAX (503) 588-5495 Date / ~, <br />Salem, Oregon <br />T O: Fax Number _ . -~~~ ~ ~o ~ ~ ' `~ ~~ <br />Company Na*nP <br />Attenrion <br />F r o m: Sender N~ <br />Departme <br />Telephone Number ~ O 0~ J~S~ <br />P <br />Budget/Project Number (For County Use Only) <br />Number of pages (inciuding cover): ~ <br />If transmission is interrupted or of poor quality, please notify us immediately at {503) 588-5165. <br />l~Iarion Count~ <br />OREGON <br />FORM t t•PS2s White Copy - Fisca/ Services Canary Copy - Customer <br />Rev 4~92 <br />