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' Local Public Agency ounty Section Number Routes StreeURoad Name <br /> City of Decatur Macon i--00224-00-SC _J Various <br /> SIGNATURES <br /> ' (If an individual) Si nature of Bidder Date <br /> L L <br /> ' Business Address <br /> ' Cit State Zi Code <br /> (If a partnership) Firm Name <br /> Si nature Date <br /> Title <br /> ' Business Address <br /> L ' Cit State Zi Code <br /> �__� <br /> Insert the Names and Addresses of all Partners <br /> (If a corporation) Cor orate Name <br /> ii <br /> Si nature Date <br /> Title <br /> Business Address <br /> F { <br /> City State Zip Code <br /> Insert Names of Officers President <br /> ' Printed 06/01/22 Page 5 of,) BLR 12200(Rev.01/21/21) <br />