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RETURN WITH BID <br /> DATE , 2015 <br /> (If an Individual) (SEAL) <br /> Signature of Bidder <br /> NA <br /> Tax ID #: NA <br /> Business Address & <br /> E-mail Address NA <br /> NA <br /> (If a Co-Partnership) <br /> Firm Name HA (SEAL) <br /> By: NA <br /> Business Address & <br /> E-mail Addresses NA <br /> NA <br /> Names of All Members of <br /> Firm <br /> A <br /> (If a Corporation) <br /> Corporate Name Burdick Plumbing Heating Co., gL� k ) <br /> By: N _ <br /> _ <br /> R <br /> resident Jeffrey S. Burdick <br /> Business Address & kS� <br /> E-mail Address 1175 North 20th Street, Deratrnr, Illinois 62521 <br /> jeff@burdickplumbing.com <br /> Names of Officers <br /> Douglas W. Burdick <br /> President <br /> Leslie B. Cassity <br /> Secretary <br /> Treasurer <br /> Attest: <br /> Secretary Leslie assity <br /> 16 <br />