Laserfiche WebLink
(Signature -- attach evidence of authority to sign) <br />Name (typed or printed): Peggy Sheltra <br />Title: President <br />Attester _____- (CORPORATE SEAL) <br />(���t'u <br />uorate Secretary) <br />Business address: 8300 SW Springhaven Ave <br />Indiantown, FI 34956 <br />Phone No.: _772-597-6923 FAX No.: None <br />Email: plasheltmagmail.com <br />Date of Qualification to do business is 8/25/2011 <br />A Joint Venture <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.: <br />Email: <br />Joint Venture Name: <br />By: <br />FAX No.: <br />(Signature -- attach evidence of authority to sign) <br />Name (typed or printed): <br />Title: <br />Business address: <br />Phone No.: <br />Email: <br />FAX No.: <br />Phone and FAX Number, and Address for receipt of official communications: <br />(SEAL) <br />(SEAL) <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 - Bid Form for LAP PROJECTS ONLY <br />00310-7 <br />FAPublic Works\ENGINEERING DIVISION PROJECTS\1503-43rd Ave Swk_Alrport or to 41st St\1-Admin\Bids\Bid Documents\LAP Documents\00310 - Bid Form for LAP <br />PROJECTS ONLY.doc <br />