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Bend, Indiana <br />i for Public Work <br />iir <br />16 <br />RTI <br />I bids. Please type or print) <br />nl• Alrl!-Y7rrn Lois„ ZaAi i-J..rlk-EF., <br />(3?61 ))3Y- 1,15- <br />)r and/or material necessary to i <br />r PA7R— <br />I specifications prepared by: <br />he Total Bid as shown on the Proposal) <br />(s ft ;-go, ='� ) <br />isal) (Numerical) <br />I check with this bid for an amount specified <br />ndersigned submits a proposal for each in <br />be specifically referenced at the applicable <br />:ded, the cost of units must be the same as <br />South Bend. Ifthe .bid is to be awarded on a <br />)arate ° achment. <br />C77� <br />V14 "Ic <br />(Printed Name of Person Signing) <br />ACCEPTANCE <br />day of l 20 / is <br />Suzanna M. FF,r_itzber , Member <br />e se,J. D- u, ember <br />'Aftest: Linda M. Martin, Clerk <br />is Bid for Public Works - 2 <br />