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DATE March 6 ,2014 <br /> (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 Petersburg Plumbing and Excavating (SEAL) <br /> By: <br /> Vice- dent <br /> Business and E-mail <br /> Addresses 3550 Great Northern Ave <br /> Springfield, IL 62711 <br /> brian@henson-robinson.com <br /> Names of Officers <br /> Steven J. Etheridge <br /> President <br /> Daniel P. Hoselton <br /> Secretary <br /> Treasurer <br /> Attest: <br /> Secretary <br /> 12 <br />