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�R <br /> Indian River County Purchasing Division r <br /> 1800 271h Street Y <br /> a1 "l: <br /> I ' I <br /> Vero Beach, FL 32960 <br /> Phone (772)226-1416 \* //. / <br /> Fax(772) 770-5140 � <br /> Total Bid in Words= -fli-,44 4::;1_< ate, .,ad �tr�.� Ht-4-c/ DOU-5 d-- z=.a --e-4 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: l-f-i c- rbi,'.5 r _M11C <br /> Company Address:,%qb (s"V (ZGL <br /> City,State k),-,,,, Sm,�rA(k ep-,C , EL Zip Code `3al 6 3 <br /> Telephone:3$6-`[6a- ( s�1 '334- s3o� Fax: 38L- ya-`I- 33°t l; <br /> E-mail: 'Se-W 0 &Ac t'vers <br /> Business Tax Receipt Number: FEIN Number: �l0 - 53 Y3,2&5_ <br /> Authorized Signature: 7_� Date: q-a- 13 <br /> Name: Title: <br /> (Type/Printed) <br /> Page 14 of 21 <br /> 29 <br />