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21 <br /> If Bidder is; <br /> An Individual <br /> Name(type or print); <br /> By: (SEAL) <br /> Doing business as: <br /> Business address: <br /> Phone: Fax: <br /> A Partnership <br /> Partnership Name: (SEAL) <br /> By: <br /> (Signature of general Partner—attach evidence of authority to sign) <br /> Name(type or print): <br /> Business Address: <br /> Phone; Fax: <br /> A Corporation <br /> Corporation Name: LUt5r Lz Cz, LvC_ <br /> State of Incorporation; <br /> Type --- <br /> (General Business,Professional, Service, LLC) <br /> By: <br /> (Signature— ttach,,``e__vidence of authority to sign) <br /> Name(type or 5ri,-',-,,A <br /> nt): 4"y-.A <br /> Title; <br /> Attest: (CORPORATE SEAL) <br /> Business Address; <br /> Phone; Fax: <br /> Date of Qualification to do business: <br /> 5 <br />