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BID RESPONSE FORMS <br />GENERAL INFORMATION <br />(4 of 5) <br />TO: Cabarrus County <br />Finance Department <br />2" Floor, Government Center <br />65 Church Street, SE <br />Concord, NC 25025 <br />Attention: Purchasing Agent <br />FROM: Name of Bidder: a� / `s hi /4,111 <br />Street Address: <br />City, State: <br />Zip: .22 ) <br />PHONEM <br />FAX #: 20 2 2V <br />FEDERAL TAX ID #:�✓�� _ <br />E -MAIL ADDRESS: &e;2 8 <br />Indicate legal form of bidder: for statistical purposes only - check one: <br />15 <br />Attachment number 3 <br />H -6 Page 437 <br />Corporation <br />Minority Owned: 51% Owned by: <br />Partnership <br />African American (BBE) <br />Individual <br />Women (WBE) <br />Other (specify) <br />Hispanic (HBE) <br />Asian American (ABE) <br />Native American (NBE) <br />Non - Minority -Owned <br />15 <br />Attachment number 3 <br />H -6 Page 437 <br />