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<br />SUBMITTED THIS 5 <br /> <br />DAY OF 1Jt'c C\n\)('( <br /> <br />20Ll <br />, <br /> <br />If BIDDER is: AN INDIVIDUAL <br /> <br />By (SEAL) <br /> <br />(Individual's Name) <br /> <br />Doing business as : <br />Business address <br /> <br />Phone No <br />Facsimile No <br /> <br />If BIDDER is: A PARTNERSHIP <br /> <br />By (SEAL) <br /> <br />(Firm's Name) <br /> <br />General Partner <br />Business address <br /> <br />Phone No <br />Facsimile No <br /> <br />If BIDDER is: A CORPORATION <br /> <br />By <br /> <br />"dA}\.I ~OJ4 L.AN()SCA-DiMo~ Cor~('4---'n()J"l <br />(~oration's Name) <br />rl~~I~ <br />..4~ .~(.. CAr b4.11 e;E.O <br />(Name of Person Authorized to Sign) <br />P.>..rknch ~~ <br />l~DI ).J(.U litO 4-V~ I..(l~l P(/.L, ~~11d" <br /> <br />~~ ... ~OS.. Of) ~(P <br />,30s ... Bar. c.{l.1 () <br />, <br /> <br />AttestJim' \ lnl1C' ~ ~ <br /> <br />~~. ~ <br /> <br />State of Incorporation: <br />Representative <br /> <br />Title <br />Business address <br /> <br />Phone No <br />Facsimile No <br /> <br />(President) <br /> <br />(Corporate Seal) <br /> <br />If BIDDER is: A JOINT VENTURE <br /> <br />(Name) (Address) <br /> <br />(Name) (Address) <br /> <br />(Each joint venture must sign. The manner of signing for each individual, partnership, and corporation <br />that is a party to the joint venture should be in the manner indicated above.) <br /> <br />PAGE 59 OF 92 <br />BID No. 07-10-04 <br />