State of Mississippi, Department of INSERT VENDOR NAME Information Technology Services, on behalf of Mississippi Wireless Communication Commission By: ________________________________ By: ________________________________ Authorized Signature Authorized Signature Printed Name: Craig P. Orgeron, Ph.D. Printed Name: _______________________ Title: Executive Director Title: _______________________________ Date: ______________________________ Date: _______________________________
State of Mississippi, Department of Information Technology Services, on behalf of Mississippi Wireless Communication Commission INSERT VENDOR NAME By: ________________________________ By: ________________________________ Authorized Signature Authorized Signature Printed Name: Craig P. Orgeron, Ph.D. Printed Name: _______________________ Title: Executive Director Title: _______________________________ Date: ______________________________ Date: _______________________________
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