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ADMINISTRATIVE
SERVICES DEPARTMENT
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530/251-1879 Telephone 530/251-4922
Fax hashby@lassencourt.ca.gov
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QUOTE
SUBMISSION FORM
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DEADLINE FOR SUBMISSION: On or
before
Attach letters, narrative,
floor plans, and/or other related documents.
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VENDOR INFORMATION |
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Vendor Name: |
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Contact Name: |
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Street Address: |
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City/State/Zip: |
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TAX ID#/SS#: |
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Telephone: |
Fax: |
E-mail: |
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BID INFORMATION |
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Total: |
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Valid For: |
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Submitted By: (Signature & Title) |
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Authorized By: (Signature & Title) |
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