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~i~.~~ <br />~~ <br />Marion County <br />~ ~ OREGON <br />FAX (503) 588-5495 <br />Salem, Oregon <br />T O: Fax Number _ <br />Company Name <br />Attention <br />F r o m: Sender Name <br />\~D~ V~V~~~~~ <br />J N ~a~..f~~r~ <br />Date ~ ( ~, <br />~ Y1?~r~z.~`: <br />Deparanent " _ ~'~ "~ <br />Telephone Number ~ b ~ ~ ~ ~5,~) <br />h <br />Budget/Project Number <br />(For Cour~ty Use Oniy) <br />Number of pages (including cover}: ~ <br />If transmission is interrupted or of poor quality, please not'rfy us immediately at (503) 588-5165. <br />FORM 11 •PS28 White Copy - Fiscal Services Canary Copy - Customer <br />Rev N92 <br />