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The ferns used in this Bid with initial ca �ta1 )et <br /> . � ters have the meanings indicated in the <br /> Instructions to Bidders, the General Conditions, and the Supplementary�� r-neotary Gondittons, <br /> SUBMITTED on 20 <br /> State Contrac rn r <br /> for LiCenSe No. .�, �)�a, 0 <br /> If Bidder is: <br /> An individual <br /> Nage (typed or printed): <br /> By: <br /> (Individual's signature (SEAL) <br /> } <br /> Doing business as: <br /> Business address: <br /> Phone N . <br /> o.. FAX No.: <br /> i4 Partnership <br /> Partnership Name: <br /> (SEAL) <br /> By: <br /> (Signature of general partner-- attach evidence of authority to sign) <br /> Name (typed or printed): <br /> Business address.- <br /> Phone <br /> ddress:Phone No.: FAX N • <br /> corporation <br /> Corporation m � . <br /> .F <br /> r r. <br /> State of I ncorporation: `= ' a - ; <br /> s (SEAL) <br /> S \ <br /> Type (General Busin ss�Professional <br /> Service, Limited Liability): <br /> (Signature attach evidence of authority to sign) <br /> Name (typed or printed): �4 <br /> - <br /> Title: <br /> (CO <br /> Attest �- _ 3,-A <br /> (Signature of Corporate Secretary) - - <br /> BusineSS 2ddress-. �f <br /> ...�, � � <br /> �ry�� ���-L-�yC4.�� t �^+- L. ' • L' �� �L� .rte' <br /> Phone No.. � <br /> 7 s ]AAS`Ayr <br /> f $wsr- Ess•"'^ti F f�� N o r t i..�. �N �¢' ��T�. <br /> Date of Qualification to do business is <br /> 310-5 00310--Bid Foran REV 04-07.doc <br /> F.APublIc WvrksIENGINEERING DIVIS(ON PROJEGTS1121O-'Sandridge Driving Range Tee RenovafionkAdmimlbid docu e <br /> m nfs1O13310 Bid Form REV 04-07.doc <br /> SmeadSoft Reprint ate:Monday,January 11,2016-09:21:49-OfficialDocuments:9069,Attachment Id 1,Page 23 <br />