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1 111inois Department <br /> ■ of Transportation Signatures <br /> ■ <br /> Route MAIN & FRANKLIN (FAP 710) <br /> County MACON <br /> Local Agency CITY OF DECATUR <br /> RETURN WITH BID Section 10-00013-00-FP <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 /> If a corporation) r <br /> Corporate Name _-Qtu ,s 4LAeLlPfwr A D..Jistou <br /> Signed By <br /> President <br /> Business Ad e Zs l?066ius /2d. <br /> President <br /> Insert <br /> Names of Secretary 2K4cd <br /> Officers <br /> Treasurer (Znµg(,d <br /> Attest: <br /> ' AS7S r• Secretary <br /> Page 1 of 1 BLR 12223(Rev.7/05) <br /> printed on 6/7/2012 3:26:57 PM <br />