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If Bidder is: <br />An Individual <br />Name, (typed or printed). <br />By: (SEAL) <br />(individual's signature) <br />Doing business as: <br />Business address., <br />Phone No.: FAX No.: <br />Email: <br />A Part "rSh1j) C/ <br />Partnership Nana}: (SEAL) <br />BY. <br />(Signature of general partner — attach evidence of authority to sign) <br />Name (typed or printed): <br />Business address: <br />Phone No..: FAX No.: <br />Email: <br />A GgOMMon <br />^.0 <br />Ll <br />State, of Incorporation: <br />'Aype 0 <br />attach <br />Name (typed or printed): <br />die: <br />(Si attire a <br />12 <br />."��Business address: <br />Phone No.: <br />Email: <br />t <br />4LV �j r <br />(CORPORATE- SEAL) <br />M <br />FAX No.: 77a ^ 7'- q <br />,3 d <br />Date of Qualification to do business is f'6�1'w <br />I <br />A Joint Venture <br />Joint Venture Name: 04az {SEAL} <br />By: <br />(Signature of joint, venture partner — attach evidence of authority to sign) <br />00310-5 00310 — Bid Form REV 04-07 <br />F1PuWWW6MVMff4EERM1 PRO=MIM PC HG8M0qw#nwt PcdRq4aawat ftd)8cA1A&&*ft 81d <br />FamREV0447.doc <br />