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<br />MA~-17-04 09:47AM FROM-CITY OF SUNNY ISLES BEACH <br /> <br />+3059493" 3 <br /> <br />T-5S9 ~,U(II( r-'4r <br /> <br />.FORM WHERE BIDDER IS A CORPORATION <br />STATEOF:tI~ <br /> <br />COUNlYOF ~~- <br />~.~ f <br />Ismu.,~~::jj:7 of~K~:"7LL-,'1;;L <br /> <br />the ~. L corporation described in and which executed the foregoing Proposal; that I have <br />been duly allthorized to eXeCllte and did execute the foregoing Proposal pursuant to that authorization, <br />and that tne several matters therein stated are in all respects true. <br /> <br />an oath, <br /> <br />pe n~m::6tity <br />By: t-!)n <br />Signatur; <br />~'m ;JY7/hl --I <br />Print~j; iSh" tj <br /> <br />Date . / <br /> <br />Tne lore ~ instrument was acIy1ow/ecIged before me rnis ~., ,/0 j.b (date) <br /> <br />by yo ~ T (nSA"e of Qffice,"-or agent, title of <br /> <br />officer or agenQ of ~ <br /> <br />(name of corporation acknowledging), a (state or place of incorporation) <br /> <br />corporation, on behalf of the corporation. HelMe is personally known to me or has produced <br /> <br />(type of identification) ntifi ion and who did (did not) take <br />~...m~'NIII. _ <br />~\'tI. ~UBY ~ z <br />~ ........1Ib ~ <br />~ ..~ COMMIS.s:;. <br />~ .. ... ~ .Iu1y.t ..... 11 <br />::::~: ~ . : <br />~o. ~r:g: :: <br />:-f: ~. :0 . _~ <br />~:~ 'Dc .. ~: :- <br />.~.~ ~9'1'I" ..:::: <br />." -O.~ V(foSl7 .~ <br />%~..:o/>t-lLlhl1J , oGaQ\5 of acknowledger - type, print, or stamp) <br />~ <.v .. ""derwn\el'!> ..~~~ '* <br />~'.s/........o~ ~~ <br />'1IIII,1T:E OF f\.l\."".... <br />. 111"'\\' <br /> <br /> <br />MC--/ <br /> <br /> <br /> <br />(TiUe or rank) <br /> <br />(Serial number, if any) <br /> <br />ft . _ <br />