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Local Public Agency County Section Number Routes Street/Road Name <br />' City of Decatur Macon 23-00308-00-FP I Various <br /> SIGNATURES <br /> (If an individual) Bidder Signature&Date <br /> ' Business Address <br /> CitV State Zip Code <br /> Firm Name <br /> ' (If a partnership) <br /> Si nature& Date <br /> Title <br /> Business Address <br /> ' CitV State ZipCode <br /> ' Insert the Names and Addresses of all Partners <br /> ' (If a corporation) Corporate Name <br /> t� pPci� A� J I S fl is Ed <br /> Si nature& Date <br /> C� T <br /> ' Title <br /> D 9 1 �� p �� <br /> Business Address <br /> city State Zip Code <br /> U"�- vSZZ <br /> Insert Names of Officers President <br /> Fou— <br /> ' Completed 07/25/23 Page 5 of 6 BLR 12200(Rev.01/19/23) <br />