THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO THIS RFP
229 Main Street, City Hall
Nashua, NH_ 03061-2019
SUBMITTED on Maren oy=# ,20_z21
Business Name (typed or printed): Ww pFLELD A LLON , RT
(J individual [] Partnership [Hcorporation (J Joint Venture
Type:
(J General CI General
~ | Publicly Traded (I Professional
imited [xT Services
L) Other [7] Limited Liability
By: I {\
(SEAL)
Fal ‘ Undividual 's bignature, General Partner, Officer with authority to sign)
Doing Business as}:
Z2 kr Iii
—__Atkinison WH 038il
Business Address:
WonpFIELD Arrpy Z Loe.
Phone: see (B00) (2 -/2302_ Email:
Date and State of Organization:
Date and State of Incorporation:
Date of Qualification to do business is
E, Zé
LITE Néws Maarsusre
[PTE New Hawrsuee
L918 NEW HAMPSHIRE
Names of Current General Partners/Executive Officers/Joint Partners
Name:
(Indicate managing partner by an asterisk *)
Address for receipt of official communications:
Zz. Br. ttl
Arkisen NH 238i
Each joint ventured must sign. The manner of signing for each individual, partnership and corporation that is a
party to the joint venture should be in the manner indicated above.
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