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DATE J,`f' , 2014 <br /> (If an Individual) (SEAL) <br /> 1 Signature of Bidder <br /> Tax ID #: <br /> 1 Business Address & <br /> E-mail Address <br /> i <br /> 1 (If a Co-Partnership) <br /> Firm Name (SEAL) <br /> 1 By <br /> Business Address & <br /> E-mail Addresses <br /> Names of All Members of <br /> Firm <br /> 1 <br /> (If a Corporation) <br /> 1 Corporate Name 'ry P.�)V-' It4 (,� D&A WgtJ C*K SEAL) <br /> By. <br /> 1 President <br /> OPN p W. -r,, "%—T <br /> Business Address & <br /> 1 E-mail Addresses q-LL4 N . AAGr44_r &4-. <br /> L Got 5:� . (02.5 22 <br /> Names of Officers <br /> Ty Q-0 LT <br /> ' President <br /> D Uri P-1 <br /> Secretary <br /> 1 D Pte! i D AA. P Czu. <br /> Treas er <br /> Attest: <br /> C.Secretary <br /> 12 <br />