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<br />BID RESPONSE FORMS <br />GENERAL INFORMATION <br />(4 of 5) <br /> <br />TO: Cabarrus County <br />Finance Department <br />2nd Floor, Government Center <br />65 Church Street, SE <br />Concord, NC 28025 <br />Attention: Purchasing Agent <br /> <br />FROM: Name of Bidder: <br />Street Address: <br />City, State: <br />Zip: <br /> <br />Pulcir, lnc. <br />9209 Oak Ridqe Hiqhway <br />Oak Ridge, TN <br />37830-3500 <br /> <br />PHONE#: (800 )862-1390 <br />FAX#: (R6') ) q?7-fiR66 <br />FEDERAL TAX ID#: 62-0787916 <br />E-MAILADDRESS:~vnne@oulcir.com <br /> <br />Indicate legal form of bidder: for statistical purposes only - check one: <br /> <br />X Corporation Minority Owned: 51 % Owned by: <br /> Partnership African American (BBE) <br /> Individual Women (WBE) <br /> Other (specify) Hispanic (HBE) <br /> Asian American (ABE) <br /> Native American (NBE) <br /> X Non-Minority-Owned <br /> <br />15 <br /> <br />t=:--IO <br />