Orange County NC Website
Browse       Search
39 <br />EXECUTION OF PROPOSAL <br />PFiOJEGT NAME:. FQOd Waste and (4rganiaWaste Collection <br />PROPOSAL REQUEST NO.'367-5175 <br />TNiS `PAGE MUST BE FULLY EXECUTED P-ND SIGNED FOR TFiE PRQP©SAL T4 BE CO~S113EREi~. <br />Ths person executing the proposal, on, behalf of the vendor, being first.ciuly,swam, deposes. and says: that: <br />(1 } He or slie is fully informed regarding the preparation and contents of the attached.Proposal :and of. all <br />pertinent circumstances regarding •such Proposal; <br />{Z) Neither helshe, riot any officio(, agent or employee of the vendflr has.eritered Into any:agreement, <br />participated In any colfilsion, ar otherwise taken any action which is in restraint of free ccsiripetitietf in <br />connection with this proposal; and <br />SiGNA"FURE OF PROPOSER.,~~~. ~~Nn +~yi_ ~°~ "~, ~:::F' <br /> <br />(Print fultname of-corporation) <br />,,~ .{A dress - County--State -Zip Code] , <br />Attest :. . `~-~ ~ ~~c.' -~-~.... <br />ecr ry/Assistant Secretary] <br />.~' y <br />By: ~{.~" <br />Preside~ii t/Vice' eslAssistant Vice Pesident) <br />Printed: ~ 1 ~ <br />rsrie: ' R°~~~,~ <br />CORPORATE SEAL: <br />Federal ID, or Social Security Number ~~ ~' - /~ ~~ ~ /~ <br />NOTE -AFFIDAVIT MUST BE. NOTARIZED <br />Subscribed and sworn to before me <br />This _. day af,2Qi 1. <br />~ ~. <br />Title <br />My Gomrrtission Expires C~S~~r ~-~ 1~"~~s''~t~~i~~~ <br />IORA I,, C~i~YIN~S$ <br />td~tary Public, Narth_CaFOlina <br />Chatham County. <br />My Commisn(on. Expires <br />Marsh t 7,.7Q t.4: <br />la <br />