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G5? <br />LEE COUNTY, NC <br />HOUSEHOLD HAZARDOUS WASTE COLLECTION PROGRAM <br />COST PROPOSAL FORM <br />Total cost for mobilization /demobilization: S <br />NOTE: Proposals will be evaluated based on cost per pound for supplies used <br />and items collected for reuse, reclaim or disposal. Please itemize costs <br />per item, per pound unless specifically noted otherwise. Unit costs <br />must be specified using Table 1 as contained herein. <br />Authorized Signature <br />Printed Name <br />Title <br />Company Name <br />Mailing Address <br />Phone <br />Date <br />13 <br />