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VENDOR INFORMATION <br />All answers should be typed o chako ". rprinted. <br />Name of Company: ark -5 . <br />Addr ess: G 441 MJ <br />G Z(� 2-I3 <br />Email YN dle beA b G` J ` KC� Phone: 10` 690 <br />Webs1te: W W �a �l�st�' f ��yU t • (� <br />Remit To Address (if different from above): <br />Type of Organization: <br />❑ Individual [—] Partnership [✓ Corporation <br />Names of Officers, Members or Owners of Concern, Partnership, etc. plus years of <br />experience in this field. �/ <br />A. President: � U�� �ar <- Number Years: <br />B. Vice President: IY A-1 Po[,KV—S Number Years: <br />C. Secretary: O Number Years: <br />D. Treasurer: Number Years: <br />E. Owners or Partners: Number Years: <br />Number Years: <br />Number r Years: <br />Dun & Bradstreet rating, if available: (XW DWIAi a� <br />17 <br />AO" number 3 <br />F -11 <br />