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D~/DI~'t F*ax:+919*F*5,,v.v.v.v.v.v.v~871 3ul 10 '97 10:26 P.O~, <br /> <br />SAC~WIS Equipment Purchsse Option <br /> <br />County <br />Contact Person <br /> <br />Telephone _ <br /> <br />We elect thc following purchase option}. <br />(Each coun~ check one) <br /> <br />Local State <br />No equipment nveded,__ <br />WiU not participate <br /> <br />The totaI amount of our purchase will be: $ ...... <br /> <br />(Stale purchase counties only. Local purchase counties must rctum this form, but thc am, <br />nm required.) <br /> <br />Please fax this form to Will B~wrdAUen Hawks at (919) 715-358I. ~ <br /> <br />)unt is <br /> <br /> <br />