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DATE June 25th , 2014 <br /> (If an Individual) (SEAL) <br /> Signature of Bidder <br /> Tax ID #: <br /> Business Address & <br /> E-mail Address <br /> (If a Co-Partnership) <br /> Firm Name (SEAL) <br /> By: <br /> Business Address & <br /> E-mail Addresses <br /> Names of All Members of <br /> Firm <br /> (If a Corporation) <br /> Corporate Name Christy-Foltz, Inc. (SEAL) <br /> By. <br /> ViCZ0esident <br /> Business Address & <br /> E-mail Addresses 740 S. Main St. , Decatur, IL 62521 <br /> —thomask@christy-foltz.com <br /> Names of Officers <br /> Halden Schinzler, Jr. <br /> President <br /> Kim Kenney <br /> Secretary <br /> Tom Dickes <br /> Treasurer <br /> Attest: <br /> _ Secretary <br /> 12 <br />