RoboCam F12 Specifikace Strana 47

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CORPORATIONIDENTIFICATION
ThebidderfortheinformationoftheAwardingAuthorityfurnishesthefollowinginformation.
IfaCorporation:
Incorporatedinwhatstate__________________________________________________
President________________________________________________________________
Treasurer________________________________________________________________
Secretary________________________________________________________________
FederalIDNumber_________________________________________________________
Ifaforeign(outofState)CorporationAreyouregisteredtodobusinessinMassachusetts?
Yes_______,No_______
IfyouareselectedforthisworkyouarerequiredunderM.G.L.ch.30S,39Ltoobtainfromthe
SecretaryofState,ForeignCorp.Section,StateHouse,Boston,acertificatestatingthatyou
Corporationisregistered,andfurnishsaidcertificatetotheAwardingAuthoritypriortothe
award.
IfaPartnership:(Nameallpartners)
Nameofpartner_______________________________________________________________
Residence____________________________________________________________________
Nameofpartner_______________________________________________________________
Residence____________________________________________________________________
IfanIndividual:
Name________________________________________________________________________
Residence____________________________________________________________________
IfanIndividualdoingbusinessunderafirm’sname:
NameofFirm_________________________________________________________________
NameofIndividual_____________________________________________________________
BusinessAddress______________________________________________________________
Residence____________________________________________________________________
Date________________________
NameofBidder_______________________________________________________________
By ________________________________________________________________________
Signature
________________________________________________________________________
Title
_____________________________________________________________________________
BusinessAddress (POSTOFFICEBOXNUMBERNOTACCEPTABLE)
_____________________________________________________________________________
City State TelephoneNumber  Today’sDate
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