PRIME CONTRACTOR: CONTRACT NO.: CONTRACT TITLE: MBE CONTRACTORS Full Name, Address, Telephone Number State Certified Non-Certified Non-Profit Dollar Amount Total Amount $________________ Certified True and Correct by: Submit Report to: _________________________________________ Mrs. Janice Brown Prime Contractor Bureau of Contracts, Grants & Procurement _________________________________________ Management Services Title 332 Turlington Bldg _________________________________________ 325 West Gaines Street ...
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