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XIII. Does toilet stall for the disabled have bars on each side ofl? <br />Per Dept. of Rehab. Sect. 504 YES NOF -1 <br />XIV. Is there a telephone reasonably accessible to handicap individuals? <br />Per Dept. of Rehab. Sect. 504 YES NOF-1 <br />XV. Is there a water fountain reasonably accessible to disabled individuals? <br />Per Dept. of Rehab. Sect. 504 YES NO❑ <br />XVI. Are auxiliary (supplementary) aides available when requested by the individual? <br />Per CFR Title 20,29,41 YESY'-"? NOF -1 <br />XVII, Do all contracts and agreements signed by the individual contain Employer Equal <br />opportunity employer language? <br />CFR Title 20,29,41 YES NOD <br />I certify that I have validated all responses: <br />Service Provider Information: <br />First N i <br />Service Provider Srgnatur <br />Business Address <br />�cz �96- <br />Business Phone Number <br />O WI� n r a f Dat <br />-1r-r- <br />Last Name <br />DI <br />ate <br />ll,Jgz,.Q <br />