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D � <br /> (* . <br /> r101S Department Local Public Agency Formal Contract <br /> of Transportation <br /> Contractor's Name <br /> Microsurfacing Contractors, LLC <br /> Contractor's Address CitV State Zi Code <br /> 13940 St. Charles Rock Rd Bridgeton MO 63044 <br /> STATE OF ILLINOIS <br /> Local Public Agency Count — Section Number <br />' City of Decatur Macon F22-00224-00-sc:::] <br /> Street Name/Road Name Type of Funds <br /> Various Motor Fuel Tax and Local Fund <br /> ® CONTRACT BOND(when required) <br /> For a County and Road District Project For a Municipal Project <br /> ' Submitted/Approved Submitted/Approved/Passed <br /> Hiahway Commissioner Signature Date Si re Date <br /> cial Title <br /> ' Submitted/Approved Mayor <br /> County Engineer/Superintendent ofHi hwa s Date <br /> ' Department of Transportation <br /> Concurrence in approval of award <br /> Regional Engineer Signature Date <br /> 7 , <br /> i' <br /> Printed 06/27/22 Page 1 of 2 BLR 12320(Rev.01/21/21) <br />