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Minds De rent <br /> part <br /> Of Transportation Signatures <br /> Route FA 712 (IL 48) <br /> County M ON <br /> Local Agency CI OF DECATUR <br /> RETURN WITH BID Section 09 0912-OOTL <br /> (If an individual) <br /> Signature of Bidder <br /> Business Address <br /> �If a partnership) <br /> Firm Name <br /> Signed By <br /> Business Address <br /> Insert <br /> Names and <br /> Addresses of <br /> All Partners <br /> elf a corporation) R HJ E ' �N TER RIsEsj I C. 'DR <br /> Corporate Na l r\q— o G O V D2 CoA-u r <br /> Signed By <br /> President <br /> Business Address t <br /> dIs <br /> e ca.A-u r L (o a S a S <br /> President y/ ) W. E <br /> Insert <br /> Names of ssTSecretary R B, 9AKeliks <br /> Officers <br /> Treasurer y/ <br /> Attest: <br /> S T Secretary <br /> Page 1 of 1 BLR 12223(Rev.7/05) <br /> Printed on 2/7/201310:30:05 AM <br /> 1 <br />