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Local Public Agency County Section Number Route(s)(Street/Road Name) <br /> City of Decatur Macon 26 00608-00-FP Various <br /> SIGNATURES <br /> (If an individual) Bidder Signature&Date <br /> 1 Business Address <br /> I <br /> City State Zip Code <br /> I (If a partnership) Firm Name <br /> Signature& Date ___ <br /> I <br /> Title <br /> IBusiness Address <br /> City State Zip Code <br /> Insert the Names and Addresses of all Partners <br /> I <br /> I (If a corporation) Corporate Name <br /> "PaWA'S4 htfot90 -ry <br /> Signature& Date <br /> I Va/i4al7r7-Y. Ds-07-204. <br /> Title <br /> I ID4V1h J. Thr Pas/A. .yr <br /> Business Address / <br /> I lCz4 N, Ii,t.ts- si g <br /> City State Zip Code <br /> � A�G� 1.06'2,2 <br /> Insert Names of Officers President <br /> i�/i /S Int. TV12 of <br /> I <br /> I <br /> 1 Completed 04/20/26 Page 5 of 6 BLR 12200(Rev.01/19/23) <br />