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Springfield Free Public Library/Township of Springfield <br />BID PROPOSAL FORM <br />Integrated Library System <br />Contract Title and Bid Number, if applicable <br />The undersigned proposes to furnish and deliver the above goods /services pursuant to the <br />bid specification and made part hereof. <br />Amount to words <br />Amount in numbers <br />Company Name <br />Address <br />Signature of Authorized Agent <br />Title: <br />Telephone Number <br />Fax Number <br />reaerat I.D. # or Social Security # <br />Type or Print Name <br />Date <br />E -mail address <br />C:Wrogram File5lNeevia.ComlDocument ConverterltemplPDFConvert .3395.1.Springfield Free /LS RFP March <br />2010.doc 7 <br />Attachment number 2 <br />F -12 Page 166 <br />