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, <br /> RETURN WITH BID <br /> 1 <br /> iffffx* IT*M <br />' of TranR—MRCM'tation Affidavit of Illinois Business Office <br /> County Macon <br /> Local Public Agency City of Decatur <br /> Section Number 18-00824-00-SC <br />' Route Various <br /> State of ,_J_.I ,1{1 C°� S ) <br />' K <br /> County of Ck nc )SS.) <br /> i l I , <br /> Of <br />' (Name of Affiant) C of Affiant) (State of Affiant <br /> being first duly sworn upon oath,' stat-es as follows:,1. That I am the ( C� 1 TQC ( �Wof _Ar, PAVEMENT STRIPING CO. <br /> officer or position bidder <br /> 2. That I have personal knowledge of the facts herein stated. <br />' 3. That, if selected under this proposal, AC PAVEMENT STRIPING CO. , will maintain a <br /> (bidder) <br /> business office in the State of Illinois which will be located inCounty, Illinois. <br />' 4. That this business office will serve as the primary place of employment for any persons employed in the <br /> construction contemplated by this proposal. <br />' 5. That this Affidavit is given as a requirement of state law as provided i Section 30-22(8)of the Illinois <br /> Procurement Code. <br /> WILLOISAINATI <br /> CORPORATE SECRETARY <br /> (Print Name of Affiant) <br /> This instrument was acknowledged before me onday of {� <br /> 1 <br /> (SEAL) OFFICIAL .L, <br /> THERESE J. TAE30R <br /> LNOTYARY PUBLIC. STATE OF ILLINOIS <br /> Commission Expires 3-29-2020 I <br /> (Signatur(of otary Public) <br />' Printed 4/26/2018 BLR 12326(01/08/14) <br /> r <br />