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~ <br /> <br />FAX (503) 588-5495 <br />Salem, Oregon <br />T O: Fax Number <br />Company Name <br />Attention <br />Fro m : Sender N~ <br />Departme <br />~~ ~ <br />~~ <br />Date / ~7 <br />~ I O r ~ ~S~ <br />~ i~. ~ ~ .. <br />Telephone Number ~ ~ 0 ~ ~ ~5,~) <br />P <br />Budget/Project Number (For County Use Oniy) <br />Number of pages (including cover): ~ <br />if transmission is interrupted or of poor quality, piease notify us immediately at (503) 588-5165. <br />FORM t 1-PSZB White Copy - Fisca/ Services Canary Copy - Customer <br />Rev SY92 <br />Marion County <br />OREGON <br />