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Attest <br />Rushoss, address'. V4&1111-32��2 <br />Phone No.: 17 a, -j7 f, - � 9,2 g- FAX No.; _77a- 77.9-r.Q96/oa <br />Date of Oualificatibn to do business is _4uq us 7'/gq 7 <br />AJ oint,Venturs <br />Jo hWenture Name: (SEAL) <br />By., <br />(Signature of joint venture par(ner attach evidence of authority to sign) <br />dame me '._(t <br />,yped or printed): <br />Ttle: <br />Business address: <br />Phone No,.: FAX, No.: <br />Joint Venture Name: (SEAL) <br />By, <br />(SIgneture — 90ach ev*nce. of authoW to sign) <br />Name (typed or printed): <br />Title: <br />Business address: <br />Phone NOW. FAX No.: <br />Phone and FAX -Number; and Address for receipt of official commuhlcatjons: <br />(Each joint vent-uror must sign.. 'The ma individual, <br />wal, Partnership, and <br />manner of signing for each <br />Corporation that is at to the, joint v6riture'should be In the .manner Indid6ted cabdve.) <br />Party <br /># * ENI OF SECTION * * <br />omio - 7 <br />F4—PW'CW"keXS4MNEMW DIMSION PROJWTS045"fh Skeet Sid6walk.krp'Wemorft 18th Ct to Old D1�JMdWffMAd d0 cumentd=10 - INd Forth REVISED 10-10- <br />08.4oc . <br />