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City Ethics Commission 200 N Spring Street City Hall 24th Floor Los Angeles, CA 90012 Mail Stop 129 (213) 9781960 ALL BOXES MUST BE COMPLETED Bid/Contract Number: Date Bid Submitted: Description

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2011 1991 California Los prohibitions proposer subparagraphs subcontracts debarment 24th ofthe hereunto Garcetti nonresponsivive orthe officeholders lacity bcontractors eles annualappropriation Charterofthe 5th DivChfCharterAmendH0308201 fortheir electors

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