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A 9,247 A 9,247 B 2,125C 7,122 0 KNOX CONSTRUCTION INC. PO BOX 123245 BAKERSFIELD CA 933080-0000 4511 ANALYTICAL OR TESTING LABORATORIES 8810 CLERICAL OFFICE EMPLOYEES Bureau Number X-XX-XX-XX-X Page 1 of 1 Effective Date 10/01/2014 Issue Date 06/03/2014 Experience Modification 77% Insurer SAMPLE
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