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I RETURN WITH BID � <br /> ,, DATE�T„nP�lt;y , 2016 <br /> (If an Individual) (SEAL) <br /> ,- Signature of Bidder <br /> ' Tax ID #: <br /> il Business & E-mail <br /> , Address <br /> i (If a Co-Partnership) <br /> Firm Name (SEAL) <br /> I i BY: <br /> Business & E-mail <br /> , Addresses <br /> ' Names of All Members of <br /> Firm <br /> , <br /> � (If a Corporation) <br /> Corporate Name Burdick Plumbing � Heating Co., Inc.(SEAL) <br /> IBy� __ -_ <br /> � e-Presi ent Jeffrey S. Burdick <br /> , Business & E-mail <br /> Addresses 1175 North 20th Street Decatur, Illinois 62521 <br /> ' jeff@burdickplumbing.com <br /> Names of Officers <br /> � Douglas W. Burdick <br /> President <br /> iLeslie B. Casssity <br /> Secretary <br /> ' <br /> � Treasurer <br /> Attest: <br /> , Secretary <br /> Leslie B. Cas ' y <br /> 1 16 <br />