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Get MN HC 573 2012

Ure: Phone: ( Printed: ) Please complete the reverse side. Date: HC 573 (08/2011) (BACK) HENNEPIN COUNTY CONTRACTOR AFFIRMATIVE ACTION (AA) CLASSIFICATION The information requested below is used internally by Hennepin County to monitor and report on participation in county contracting. Your cooperation in completing this form is greatly appreciated. Vendors who do not complete this information may be contacted by Hennepin County to provide the information requested. If you have questions.

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