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<br />DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE WORKPLACE <br />REQUIREMENTS <br /> <br />Name: ~~t=~7[r Ie,'( -::l1i'7'A)f' M41?T1AIE:7 <br />Name of Contractor: 7) >' L iJi (i~/f7Il-n{j( <br />Contractor Number: <br /> <br />/; /2/; ! O~n <br /> <br />Date: <br /> <br />The Contractor shall insert in the space provided below the site(s) expected to be <br />used 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 <br />site): <br /> <br />J 2:l,/ ;; Alii",!) J;/rli!ii;; <br />I . <br />11114/1?-/4 04 '7:l f'/l{, <br /> <br />EXHIBIT F <br />