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Certification of Social & Economic Disadvantage PERSONAL NET WORTH Complete this form each disadvantaged individual that is an owner of a DBE or applicant firm. Personal assets and liabilities for that individual alone s
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Document Date: 2012-02-18 13:32:45


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Company

Original Cost Present Market Value Name / Property Address Date / /

Country

Puerto Rico / /

Event

M&A / /

Facility

State Highway / /

IndustryTerm

insurance / /

Organization

American Society / State Highway and Transportation Department / /

Person

Li Li / /

ProvinceOrState

Missouri / /

SocialTag