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<br />DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE <br />WORKPLACE REQUIREMENTS <br /> <br />Name: <br />Name of Contractor: <br />Contractor Number: <br />~f//6S <br /> <br />7.#E 4C4.2Jf/<1r+ (]/1/fc/r"';ry ~4~r'-<V;:;- <br />/ C/ <br /> <br />C-on:ft-- <br /> <br />Date: <br /> <br />The Contractor shall insert in the space provided below the site(s) expected to be used <br />for the performance of work under the contract covered by the certification: <br /> <br />Place of Performance (include street address, city, county, state, zip code for each site): <br /> <br />/6:3/ /if .3~; SloL- ST- S'al7E:#- c;;z..D.!J <br />$4v74 4,</4 01 9.7700 <br />,. <br /> <br />EXHIBIT F <br />