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N_ <br />N <br />3. Contractor Name: <br />Federal Tax ID: <br />ount of Contract: <br />Street Address: <br />6. Percent of Completion: <br />z <br />; z <br />O y0 <br />s. <br />N <br />N • a <br />0 C..) at) 7k <br />❑ ❑ <br />U O 'E <br />,_:, r C_) N <br />.-, © <br />Minnesota Department of Transportation <br />O �-- N Cr; vl <O l� CO O; <br />rxj f," tri �p l� CO - 1-1 1--i 1--i 1--i 1--i 1--i 1--i 1--i 1--i 1-1N <br />10. Reviewed by: (Signature) <br />9. Prepared by: (Signature) <br />8. Contract Goals <br />%OBTAINED <br />MINNESOTA GOALS <br />ct <br />z <br />o <br />ct <br />ct <br />N <br />•N •O <br />EEO-13 Rev. 05/09 <br />