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Kernersville B-40 & South - Town of Kernersville

Kernersville B-40 & South - Town of Kernersville

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Contact Person:_______________________________________________________________________________<br />

Telephone:__________________________________________________________________________________<br />

Type <strong>of</strong> Location:______________________________________________________________________________<br />

Description <strong>of</strong> Work;___________________________________________________________________________<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

Length <strong>of</strong> Contract:____________________________________________________________________________<br />

4. (OPTIONAL) Agency or Firm Name:_________________________________________________________________<br />

Business Address:_____________________________________________________________________________<br />

Mailing Address:______________________________________________________________________________<br />

Contact Person:_______________________________________________________________________________<br />

Telephone:__________________________________________________________________________________<br />

Type <strong>of</strong> Location:______________________________________________________________________________<br />

Description <strong>of</strong> Work;___________________________________________________________________________<br />

____________________________________________________________________________________________<br />

____________________________________________________________________________________________<br />

Length <strong>of</strong> Contract:____________________________________________________________________________<br />

11509; WBS #: 3709.3.23 B<strong>40</strong> Interchange Landscape 69

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