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Indian River County Purchasing Division �'B CO <br /> *40w- 1800 271h Street �, f <br /> Vero Beach, FL 32960 <br /> Phone (772) 226-1416 <br /> Fax(772) 770-51400at <br /> Total Bid in Words=17-1w-'4­1 Z"' «.,,J 5 <br /> The undersigned hereby certifies that they have read and understand the contents of this solicitation <br /> and agree to furnish at the prices shown any or all of the items above, subject to all instructions, <br /> conditions, specifications, and attachments hereto. Failure to have read all the provisions of this <br /> solicitation shall not be cause to alter any resulting contract or request additional compensation. <br /> Company Name: EM c- �J:`.r«� r Z-'XC <br /> Company Address 11 olb 7T71err%6AN. 0cV Ra <br /> City,State SMyCA(, ,epjC� . eL Zip Code '3at 6 8 <br /> Telephone:3'R �`��6 l S�! 339- s3a� Fax: '38I- y9-')- 33cl <br /> E-mail: `Se" 0 0-vtOt'ye-rs <br /> Business Tax Receipt Number: FEIN Number: �L o - 53 Y32d.S_ <br /> Authorized Signature: e Date: c(-a- 13 <br /> Name: Se Title: QrC5"" tMA_ <br /> (Type/Printed) <br /> Page 14 of 21 <br /> 27 <br />