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FORM C <br />BID SHEET <br />Vendor Name: A Jz)b U& ��qeLs $ 61 I �Jcll <br />Address: 5 -15LP F-ak mo'�-L-E P-0 <br />0141 L -t -a <br />Business lD L.0 Telephone- <br />Email: <br />- 'i' <br />Email: <br />Otis © N06u; /Pft+,Ae.5 . Cz m <br />Authorized Agent: <br />v E &—hlLoc <br />Unit Gross Purchase Price <br />Sales Tax (8.4%): <br />Delivery Cost: <br />Vendor Discount (if available): <br />Total Bid Purchase Price: <br />$ T)( -Q 2't') 2, . co <br />$ LP L. <br />$ <br />$ <br />$ 163 1 (02'1. <br />Does the livestock panels and accessories meet specifications exactly as written (check one): <br />Yes M No 0 <br />(If no, bidder is required to list ALL deviations on the Equipment Specification Form) <br />Please verify the following information has been provided: <br />E Equipment Specification Form <br />M Warranty information (if applicable) <br />S <br />ig - ate: _ Lo 11-1 -2Z 1Z <br />