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<br /> ~ <br />TO BE COMPLETED BY EMPLOYER MEMBER: <br />EMPLOYER MEMBER BENEFITS COORDINATOR <br />Name W. E. Anderson <br />Title Personnel Director <br />Mailing Address P. O. Box 9037 <br />Street Address (if different from above) <br /> 11~ lJ::.'t ~tyPPt' ~ F. <br />City/State/Zip Paris. Texas 7~461-9017 <br />Phone 903-784-9241 <br />Fax 903-785-8519 <br />E-mail <br /> Inlcrlocal Agreement ASQ (rev, 1 0/01/99) Page 4 <br />