Title:
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Human Services
Meeting Date: 5/5/2021
Purpose: Provide Family Shelter Apartment Furniture - Supply and Install via: State Contract
Dollar Amount: $64,774.21 NOT TO EXCEED
Account No.: 03-200-56-999-960 TRUST
Requisition No.: 209038
Contract Basis: State Vendor
Vendor No.: 17134
Name: Modu Form, Inc.
Address: PO Box 400, 172 Industrial Rd, Fitchburg, MA 01420
Prepared By: GTR:jh
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