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MAR -17 -04 09:47AM FROM -CITY OF SUNNY ISLES BEACH <br />+3059493113 T -589 P.07/17 F -147 <br />FORM WHERE BIDDER IS A CORPORATION <br />STATE OF <br />i <br />the corporation described in and which executed the foregoing Proposal; that I have <br />been duly authorized to execute and did execute the foregoing Proposal pursuant to that authorization, <br />and that the several matters therein stated are in all respects true. <br />BIDDER: „ <br />Pri 'type name of a lily <br />By: <br />Signatur <br />d l- / <br />Print or ty a name <br />3,71, S <br />n <br />Date t <br />The foregoing instrument was ac owledged before me this r (date) <br />by y ,.9-y/ (na a of officer or agent, title of <br />officer or agent) of <br />(name of corporation acknowledging), a (state or place of incorporation) <br />corporation, on behalf of the corporation_ He /sale is personally known to me or has produced <br />(type of identification) I d ntific ion and who did (did not) take <br />an oath. ��1� UBye- <br />�� ; •' c0tA"M/es; . <br />J �� A r of pe o taking acKnowledgement) <br />'- �Gm•.g6drhn t;�a of acknowledger - type, print, or stamp) <br />(Title or rank) <br />(Serial number, if any) <br />