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(If an Individual) (SEAL) <br /> Signature of Bidder <br /> Tax ID #: <br /> Business and E-mail <br /> Address <br /> (If a Co-Partnership) <br /> Firm Name (SEAL) <br /> By: <br /> Business &E-mail <br /> Addresses <br /> Names of All Members of <br /> Firm <br /> (If a Corporation) <br /> Corporate Name Burdick Plumbing & Heating Co.. Inc. (SEAL) <br /> By: <br /> Vice-President Jeffreys. Burdick <br /> Business and E-mail <br /> Addresses 1175 N. 20th Street jeff@burdickplumbing.com <br /> Decatur, Illinois 62521 <br /> Names of Officers <br /> Douglas W. Burdick <br /> President <br /> Leslie B. Cassity <br /> Secretary <br /> Treasurer <br /> Attest: C��c ) J5� <br /> 2 <br /> Secretary <br /> Leslie . Cassity <br />