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Local Public Agency County Section Number Routes Street/Road Name <br /> City of Decatur Macon 20-00002-00-BR Meadowlark Drive <br /> SIGNATURES <br /> (If an individual) Si nature of Bidder Date <br /> Business Address <br /> City State Zi Code <br /> (If a partnership) Firm Name <br /> Signature Date <br /> Title <br /> Business Address <br /> ' <br /> City State <br /> Zi Code <br /> ' Insert the Names and Addresses of all Partners <br /> (If a corporation) Corporate Name <br /> ' h% 0.L�UCS `r�iG. <br /> Si nature Date a <br /> Titl <br /> 4- ,W, f <br /> ecJ\ <br /> Business Address <br /> city State Zip Code <br /> Insert Names of Officers President <br /> Printed 09/02/21 Page 5 of 6 BLR 12200(Rev.01/21/21) <br />