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RETURN WITH BID <br /> [QinaiS Departme�nt <br /> c� Trans�{a�on Affidavit of 111inois Business Office <br /> County MACON <br /> Locai Public Agency CITY OF DECATUR <br /> Section Number �g_00802-00-BR <br /> Route _FAU 7386 tMAIN STJ <br /> State of Illinois ) <br /> )ss. <br /> County of Sangamon ) <br /> t, Allan Reyhan, Jr. of Springfield , Illinais � <br /> (Name of Affiant) (City of Affiant) (State of Affiant <br /> being first duly sworn upon oafh, states as foliows: Reyhan Bros, Inc. <br /> 1. Thatlam the President Qf dba Sangamo Construc�ion Company <br /> officer or position bidder <br /> 2. That i have personal knowiedge of the facts herein stated <br /> Reyhan Bros, �nc. <br /> 3. That, if selected under this proposai, dba San�amo Construction Company ,wili mainfain a <br /> (bidderj <br /> business o�ce in the State of Illinois which will be located in San�amon County, lilinois. <br /> 4. That this business office wiil serve as the primary place of employment for any persons employed in the <br /> construction contemplated by this proposai. <br /> 5. That fhis A�davit is given as a requirement of state law as provided in Section 30-22(8}of the Illinois <br /> Procurement Code. <br /> . , �.` <br /> 1���� <br /> (Signature) `' a' <br /> !'.__✓ <br /> Allan Reyhan, 3r. <br /> (Print Name ofAffiant) <br /> This instrument was acknowledged before me on 5�h day of September 2019 <br /> OFFICIAL SEAL <br /> (SEAL) CATHRYN BAULOS <br /> NOFARY PUBLtC,STATE OF 1LUNOIS <br /> MY COMM{SSION EXPIRES t6-25-2021 <br /> F <br /> ��Ct��n.t�: 't.c_-l'.�3'?.�' <br /> �°(Sig�ature of Notary Public) <br /> Printed 6/4/2019 BLR 12326(01/08l14j <br />