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Please list each owned vehicle and tank capacity <br />Truck Number/Tag Number <br />y ,3 /90'v' <br />-, <br />2020045 Annual Sanitary Sewer Services.doc <br />Gallon Capacity of Tank <br />plod <br />Will your company extend these prices to other governmental agencies <br />within the State of Florida? <br />Yes No ❑ <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 n t -be cause to after any resulting contract or reluest additional compensation. <br />n Nam r -� 5: a' -✓ C _ .5 � �.%/ r'e.9,s �'�� 1.... C��; -"-� .i`.�1� - <br />Company <br />Company Address:, <br />City, State ['/c' `,�-'�'`�C�- r� Zip Code���',•�' <br />Telephone: /�.� v��b- 1141 Fax: <br />E-mail: ��% �C'/r%��PS��°'3C ctcJ ,�Je,� <br />Business Tax Receipt Number: FEIN NumbeC:�- <br />Authorized Signature: 6 v y"� Date: 12 DZ- 0 <br />r' <br />Name: Title / <br />(Type / Printed) <br />Page 13 of 30 <br />