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Local Public Agency Count Section Number Routes Street/Road Name <br /> ' City of Decatur Macon 19-00934-00-BR FAU 7401 (Grove Road) <br /> SIGNATURES <br /> (If an individual) Bidder Si nature&Date <br /> ' Business Address <br /> Citv State Zip Code <br /> (If a partnership) <br /> Firm Name <br /> ' Signature& Date <br /> Title <br /> ' Business Address <br /> Citv State Zip Code <br /> Insert the Names and Addresses of all Partners <br /> ' <br /> (If a corporation) Corporate Name <br /> ' C-Hill Civil Contractors Inc. <br /> Signature& Date <br /> ' 601/12/24 <br /> Title <br /> Vice President <br /> Business Address <br /> P.O. Box 58 14 Dean Street <br /> Citi/ State Zi Code <br /> ' Campbell Hill 62916 <br /> Insert Names of Officers President <br /> ' Stephen Brock <br /> Completed 12/07/23 Page 5 of 6 BLR 12200(Rev.01/19/23) <br />