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16-0�1 <br />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 28025 <br />Attention: Purchasing Agent <br />FROM: Name of Bidder: et/ /f �� �G�l� �•jLf <br />Street Address: <br />City, State: 49iGD.L�(� <br />Zip: ABPD 2 <br />PHONE #: ( 70 K ) 216lj - <br />FAX #: ( 70V ) X 262 -4�-r2C <br />FEDERAL TAX ID #: ,3 <br />E -MAIL ADDRESS: .?D plexh k} ,6 w g +� , LQ M <br />Indicate legal form of bidder: for statistical purposes only - check one: <br />16 <br />A i) number 5 <br />F -11 <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 />16 <br />A i) number 5 <br />F -11 <br />