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b6 <br />10A floor Cleaner <br />10B Glass Cleaner <br />10C Multi = Purpose. Cleaner <br />10D Paper Towels Refills for Bathroom <br />10E Tolilet Paper Refills for Bathroom <br />10F Trash Bag Refills for Bathroom <br />10E Misc. Cleaning Supplies <br />10F Other Proposed Supplies Needed: <br />Grand Total_7��. 36 <br />-era <br />IZ -1a <br />.rte <br />.00 <br />;0.00 <br />COs 00 <br />f <br />Grand Total $_j00®. 00 <br />Grand Total (based on the estimated quantities) written tin words: <br />DrlS4�y �i/� ` • A Dollars an -S0L Cents. <br />Dated this 42 day of Jv# yff <br />INDIVIDUAL, FIRM OR PARTNERSHIP <br />By: if dVFK4:0, &&kAr <br />(Signature) (Print name) <br />Address: /S0 ?5 -3v /3?" ��• ire Q <br />Telephone: AS ) ._05' 1619 <br />E- Mail:, i - &e4*ee op <br />Social Security Number (OR) Taxpayer Identification Number (TIN): :20-1Yj7j sif*5 <br />Page # 2 of 2 <br />"Attachment A" <br />