My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
DELHI CENTER - 2004 FEZ
Clerk
>
Contracts / Agreements
>
D
>
DELHI CENTER - 2004 FEZ
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/16/2013 3:39:59 PM
Creation date
11/24/2004 9:08:43 AM
Metadata
Fields
Template:
Contracts
Company Name
Delhi Center
Contract #
A-2004-161
Agency
Community Development
Council Approval Date
8/2/2004
Expiration Date
6/30/2005
Insurance Exp Date
12/14/2005
Destruction Year
2010
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
33
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
<br />. <br /> <br />. <br /> <br />DIVISION OF EMPLOYMENT SERVICES <br /> <br />PLACE OF PERFORMANCE <br /> <br />FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS <br /> <br />I,; <br /> <br />,--, <br />,-/ j <br />:!/~ v'vv~t,.' 1 <br /> <br />'(:;r; ,; <br /> <br />Name: <br /> <br />,0'1/,// <br /> <br />Name of Contractor: <br /> <br />~~_Li;A <br /> <br />Contractor 'Number: <br /> <br />Date: <br /> <br />j)dtf <br />, f <br /> <br />The Contractor shall insert in the space provided below the site(s) expected <br />to be used for the performance of work under the contract convered by the <br />certification: <br /> <br />Place of Performance (include street address, city, county, state, zip code <br />for each site): <br /> <br />,)tJ (;' .1 . - <br />4. C..:: It:t:U,- { LL t-<-J .:.t.<./ <br /> <br />,J .,11. ,I", <br /> <br />u-J ~:J'!e/ <br />{ <br />
The URL can be used to link to this page
Your browser does not support the video tag.