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The individuals signing below are authorized to do so by the respective parties to this <br /> Agreement. <br /> MEMBER INFORMATION <br /> �.�fir,y`� �.`�F-�,►�S`� <br /> Member Purchasing Contact Name Member Purchasing Technology Contact Name <br /> Street Address Street Address <br /> &-� Q o ( l0 I -�Olsp u <br /> City, State Zip City, State Zip <br /> Vr)o- 64 P -C,-)-qoO <br /> Purchasing Contact's Telephone Number Technology Contact's Telephone No. <br /> X20 - VW- d,40 L <br /> Purchasing Contact's Fax Number / Technology Contact's Fax Number <br /> b V i I ! -O-cu- (P,.0 W b Q,��.r A e?+* <br /> Purchasing Contact's Email Address Technology Contact's Email Address <br /> AUTHORIZATION <br /> Public Agency Dawson Education Cooperative <br /> By: By: <br /> ut orized Signature Becky Jester <br /> Title: Executive Director <br /> 3 - 1-6 <br /> Date Date <br /> INSTRUCTIONS <br /> Please mail two signed original Interlocal Agreements to the Dawson Education Cooperative,Attn: Becky <br /> Jester, Executive Director, Dawson Education Cooperative, 711 Clinton Street, Suite 201,Arkadelphia, <br /> AR 71923. Upon execution, a signed original will be returned to the Purchasing Contact listed above <br /> with a TAPS Welcome Letter and Awarded Vendor Directory with purchasing instructions. <br /> Interlocal Cooperation Agreement <br /> Dawson Education Cooperative of Arkansas <br /> p.4 <br />