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03/15/00 08:03 FAX 588 7951 MARION CO RISK <br />Salem Area Mass Transit District/Marion County lF8 00-03 46 <br />TAB Services <br />ATTACHM~ENT VI <br />Has your firm been certified by the State of Oregon as a <br />Disadvantaged Business Enterprises? <br />Yes ~ No <br />lf yes, attach copy of current certification letter. <br />I hereby certify that the information provided on this form is true and <br />accurate to the best of my knowledge. <br />. <br />Signatvre: <br />Name & Title: ~ ~t llGr (.v- ~G~AD V e`[~_ IF~SrdC~t~ <br />(Typed or Printed) <br />Date: ~ ~~3~ZDOD <br />r- <br />~ 03 <br />