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A Corporation : <br /> Corporation Name : � (SEAL) <br /> State of Incorporation : — ROLL <br /> Type ( General Bu ' , PrQfessional , Service, Limited Liability) : <br /> /00 <br /> By: <br /> i (Sigi ature — attach evidence of authority to sign) <br /> Name (typed or printed ) : =i rrno in v use <br /> Title : <br /> (CORPORATE SEAL) <br /> Attest <br /> (Signature of Corporate Secretary) <br /> Business address : V.I(.o() SW DL- b `D14Ie VAVJ $ . <br /> P 20 ),mc h , EL <br /> Phone No . : —11?, -5UL1 - 9 %CCg - FAX No :: -Tj 'a - 5 U y =l 2 'N <br /> Date of Qualification to do business is <br /> ion <br /> A Joint Venture . <br /> Joint Venture Name : ( SEAL) <br /> By: <br /> (Signdture of joint venture partner -- attach evidence of authority to sign) <br /> Name (typed or printed ) : <br /> Title : <br /> Business address : <br /> Phone No . : FAX No . : <br /> Joint Venture Name : (SEAL) <br /> By: <br /> (Signature — attach evidence of authority to sign) <br /> Name (typed or printed ) : <br /> Title : <br /> Business address : <br /> i <br /> Phone No . : FAX No . : <br /> 00310-9 Bid Form <br />