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BID SIGNATURE PAGE <br /> If a Comoration <br /> CorporateName Metal Culverts, Inc. <br /> '' �-�ininV <br /> Kathy Mohrman <br /> By Registered Agent: <br /> ^ ;,,,a" <br /> Signature(ple se sigPrint Name <br /> Business Address: 728 Heisin er Road P.O. Box 33 <br /> Street 65102 <br /> Jefferson City MO <br /> city State Zip <br /> (573)636-7312 <br /> Area Code TelephoneNumber <br /> 728 Heisinger Road, <br /> Name of Officers: <br /> Ben W. Bielski Jr. Jefferson City,MO 65109 <br /> President Address 728 Heisinger Road, <br /> Ben W. Bielski III Jefferson City,MO 65109 <br /> Vice President Address 728 Heisinger Road, <br /> Tammy Thielemier Jefferson City,MO 65109 <br /> Secretary Address 728 Heisinger Road, <br /> Jefferson City,MO 65109 <br /> Kathy Mohrman <br /> Treasurer Address <br /> Sole Proprietor <br /> Firm Name <br /> Signature of Bidder: Print Name <br /> Signature(please sign in ink) <br /> Business Address: <br /> Street <br /> City State Zip <br /> Area Code Telephone Number <br /> If a Partnership <br /> FiumName <br /> By. PrintName <br /> Signature(please sign in ink) <br /> Business Address: <br /> Street <br /> City State Zip <br /> Area Code Teleph=Number <br /> Name of all <br /> Members of Firm Name Address <br /> Name Address <br />