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(Signature --attach evidence of autl _ - <br /> Name (typed or printed):_1 1`VkAgj <br /> Title: (CORPORATE SEAL) <br /> Attest <br /> (Signature of Corporate Secretary) <br /> Business address: <br /> Phone No.I-1Z. _1. t h FAX No.:77 Z. L/, 7 <br /> Date of Qualification to do business is <br /> A Joint Venture (SEAL) <br /> Joint Venture Name: <br /> By: <br /> (Signature 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 /> Phone No.: FAX No.: <br /> Phone and FAX Number, and Address for receipt of official communications: <br /> (Each joint venturor must sign. The manner of signing for each individual, partnership, and <br /> corporation that is a party to the joint venture should be in the manner indicated above.) <br /> ** END OF SECTION <br /> 00310-6 ONLY.doc <br /> F:\Public Works\ENGINEERING DIVISION PROJECTS'=-5B-Old Dixie Hwy Sidewalk(381h Ln-45th Sq',A:--c _:.. <br /> - - ---for LAP <br /> PROJECTS ONLY.doc <br />