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NOTE: If bidder or other interested person is a corporation, state legal name <br />of corporation, also names of the president, secretary, treasurer, and manager <br />thereof; if a co-partnership, state true name of firm, also names of all <br />individual co-partners composing the firm; if bidder or other interested person <br />is an individual, state first and last name in full. <br /> <br />Licensed in accordance with an act providing for the registration of <br />contractors, License No. <br /> <br />Signature of Bidder <br /> <br />NOTE: If bidder is a corporation, the legal name of the corporation shall be <br />set together with the signature of the officer or officers authorized to sign <br />contracts on behalf of the corporation; if bidder is a co-partnership, the true <br />name of the firm shall be set forth above together with the signature of the <br />partner or partners authorized to sign contracts in behalf of the <br />co-partnership; and if bidder is an individual, his signature shall be placed <br />above. <br /> <br />Business Address <br /> <br />Place of Residence <br /> <br />Dated , 19 <br /> <br />CDS.1.5 8 <br /> <br /> <br />