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ER <br /> Indian River County Purchasing Division � � <br /> 180027th Street <br /> Vero Beach FL 32960 <br /> Phone (772)225-1416 <br /> Fax(772)770-5140 <br /> Total Bid in Words <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: tLa L <br /> Company Address: l�qt� i ��.,1��f�� r,v (Za <br /> City,State �_)�w Sm�rn� r �•_. C} Zip Code Sal 6 2 <br /> Telephone:3-i 6-`lad-- SS'7 6 156 t '334- 530 Fax: 'J,9 d- 4;-I- 3-1 ci� <br /> E-mail: 6' FAC-1'yer-, Cam• <br /> Business Tax Receipt Number: FEIN Number: o1© - 573Y 2G3 <br /> Authorized Signature: Date: <br /> Name:_ e �� _L srs Title: QresZ LIN- <br /> (Type/Printed) <br /> Page 14 of 21 <br /> 47 <br />