Orange County NC Website
EXECUTION OF PROPOSAL <br />PROJECT NAME: PEEET MAINTENANCE SOITIVME <br />SYSTEM PROPOSAL REQUEST NO 5201. <br />THIS PAGE MUST BE FULLY EXECUTED AND SIGNED FOR THE PROPOSAL TO BE EDNSIDERED. <br />The person executing the proposal, on legal of the vendor, being (list duly same, deemed and says <br />that <br />111 He as is fully Informed regarding the preparation and contents of the attached Propose land <br />ofall Railroad diurnal regarding such Proposal: <br />(2) Neither he/ she, nor any official, agent or employee of the vendor has entered Into any <br />agreement, participated In any collusion, or otherwise taken ary anion which is In rest mint d <br />Free cumpe I sun In mane I n whh ihD propmalpnd <br />SIGNATURE OF PROPOSER <br />MO Sysamq lno. dies FASTER Aril Solutions <br />(Print full name of wrpm nl <br />2M Wlm l Puyu SAW Na. Val WBn VA a U <br />(Addel- County- State -Up(a del <br />Al t ;frr Bitted: At d� <br />m odrsl ant Sarno ) <br />Rai Kn <br />President /vice Pr m/AUkbnt ww PMldent) <br />Printed; L�WLJ�J,Lnclev <br />CORPORATESPAL <br />',•N«E@S'• <br />FMemI ID. or Social Security Number.1�568e1�568< <br />'NpS�. a.I4M, vy j <br />NOTE -A MmrMUSrBENOIARmED <br />HEWWVWml jS ' <br />Su n abefare me lM1ls�dryd 2016 <br />MY cm'MSSWM) g d <br />PIRES <br />':'N'•.. <br />�4F44ry <br />/y soldr t <br />W <br />••'niTM,J•'-' <br />Suit c n My Commission Expires 431 X2 / <br />THIS <br />