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Local Public Agency County Section Number Routes Street/Road Name <br /> City of Decatur Macon 19-00935-00-BR Mound Road (FAU 7359) <br /> SIGNATURES <br /> (If an individual) Bidder Signature&Date <br /> Business Address <br /> C itV State Zip Code <br /> (If a partnership) 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 /> (if a corporation) Corporate Name <br /> Reyhan Bros., Inc. dba Sangamo Construction Company <br /> Signature&Date <br /> Title <br /> President <br /> Business Address <br /> 2100 East Moffat Avenue <br /> Cit/ State Zip Code <br /> Springfield IL 62702 <br /> Insert Names of Officers President <br /> Allan Reyhan,Jr. <br /> Completed 08/11123 Page 5 of 6 BLR 12200(Rev.01/19/23) <br />