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07/25/95 11:54 AUSO-LEXINGTON -> 303 832 8106 NO. 164 D06 <br /> JUL 24 '95 04:39PM DIV/MINERALS&GEOLOGY P.9i20 <br /> ' Attachment A <br /> Ate. COMPACTOR <br /> OWNBItSBZP AND CONTROL <br /> INrOPM;iTZON PACKAGE <br /> 1 . Contract NO. P K <br /> 2. Contract Type: <br /> Inspection SagiA00ring R4olamation X � <br /> GENZEU L INFOW&TION i39 raw <br /> 3. Contractor blame -hot, PIM A nj4 Phone ,qr7 D) 4 34 D�1 <br /> mail o Address :.- <br /> City State CLO Zip 81 S;�-O <br /> SSN Elbt 64- 120 4't 1 D <br /> �s s�33 <br /> 4. Sub-contractor Dame � nr��a y2,W1 nV6�,/�unst hone <br /> mailing Address 3.9 APIL _ D'11 Qd. <br /> City �' f State tom- Zip Y 1 SA a <br /> SSK EIN 9 4 - I yL-7 1 a,1 <br /> All sub-contractors who will receive 10* or greater of the <br /> total AML Contract award must be identified, with the <br /> exception of contracts awarded for inspection services or <br /> include inspection duties. All subcontractors on inspection <br /> contracts or Who are carrying out inspection duties MUST be <br /> identified. If there is more than ono subcontractor, list <br /> above information on a supplemeatal page. <br /> OWNERSHIP AND CONTROL <br /> 5. a) Contractor' s Legal Structure: <br /> ( } Sole Proprietorship ( ) Partnership <br /> bd corporation ( ) Other <br /> If Contractor is a sole proprietorship, list: <br /> Owner blame Phone <br /> Mailing Address <br /> City State Zip <br /> SSM $IN <br /> Beginning date as owner of sole proprietorship <br /> b) Sub-contractor' s Legal Structure: <br /> ( ) Bois Proprietorship ( ) Partnership <br /> �} Corporation ( ) Other <br />