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<br />DIVISION OF EMPLOYMENT SERVICES <br />PLACE OF PERFORMANCE <br />FOR CERTIFICATION REGARDING DRUG-FREE <br />WORKPLACE REQUIREMENTS <br /> <br />~( ea 'Levf ~ L~ <br />Name of Contractor: ~~f{ () (1c;L\ JU,v,"-o <br />Contractor Number: <br /> <br />! ~ --" <br />(c. - c-? -(() / <br /> <br />Name: <br /> <br />O~bQ <br /> <br />Date: <br /> <br />-. <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 />~ (t~~ ~+. <br />~ ) A 9?'203 <br /> <br />EXHIBIT F <br />