Document Date
Meeting Description
Document Type
Meeting Date
Page Number
177
Telephone
SUBMITTED on SSIS Z072d 20
If BIDDER is: ,
An Individual
Name (typed or printed): Re\oert Chrern 2 BR rs
By: f (SEAL)
(individual's Signature)
Doing business as: Rr Wl. ewrTrer DASE z
Business address: FO BOK BSItl Neshla Ml a3nG!
Fyneal: RiICEXEDA Gmali. don
Phone No.: 602% 265 6089 Fax No.:
A. Parmership
Partnership Name: (SEAL)
Bid Form
Date and State of Organization.
Names of Current General Partners
Name Title
Type of Partnership
[] General [| Publicly Traded
[| Limited ["] Other (describe):
By:
(Signature of General Parmer ~ attach evidence of authority to sign)
Name (typed or printed):
Business address:
Phone No.: Fax No.:
BF 4 of7
Page Image
