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r3:z3 <br />..,~.,,, ~ <br />.,,,,,. <br />. __ ;....,_ <br />,~ _ <br />FAX (503) 588-5495 <br />Salem, Oregon <br />Date / ! , <br />T O: Fax Number ~ D~' ~~5~ <br />Company Name J <br />Attention <br />F r o m: Sender N~ <br />Departme <br />Telephone Number ~ D ~ ~ J ~S~ <br />r <br />Budget/Project Number <br />Number of pages {including cover): ~ <br />(For County Use Oniy) <br />If transmission is interrupted or of poor quality, please notify us immediately at (503) 588-5165. <br />FORM t 1-PS28 White Copy - Fisca/ Services Canary Copy - Customer <br />Rev N92 <br />Marion Count~ <br />OREGON <br />