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Once this has been signed and reviewed by all you will receive an e-mail with the completed form and notes from Procurement as to whether or not it has been approved.

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Signature HereDepartment Head Will Sign Here

05/11/2025

Signature HereGloria Pargas Will Sign Here

Signature HereClick to Sign

05/11/2025

05/11/2025Click to Sign

Signature HereAndrew Valencia Will Sign Here

05/11/2025

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City of Grants, NM

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Note to Applicant:

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Andrew Valencia

Gloria Pargas