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RETURN WITH BID <br /> DATE September 22 ,2021 <br /> (If an Individual) (SEAL) <br /> Signature of Bidder <br /> Tax ID#: <br /> Business Address & <br /> Email Address <br /> (If a Co-Partnership) <br /> Firm Name (SEAL) <br /> By: <br /> Business Address & <br /> Email Address <br /> Names of All <br /> Members of Firm <br /> (If a Corporation) <br /> Corporate Name Culy Contracting LLC (SEAL) <br /> By: C� <br /> ./ <br /> Vice- ident <br /> Business Address & <br /> Email Address 5 Industrial Park Drive, Winchester, IN 47394 <br /> Jacob.hart@culycontracting.com <br /> Names of Officers Doreen M. Culy <br /> President <br /> Mark Schildmeier <br /> Secretary <br /> Mark Schildmeier <br /> Treasurer <br /> Attest: A�O/ <br /> Secretary <br /> 17 <br />