Canon 2077B001 Specifications download pdf (Page 56)

Microcomputer Peripherals, Annual Contract #08-02-9975 Page 56 of 58

Resident Bidder Form

If you or your company own real or personal property within Cypress-Fairbanks I.S.D. boundaries, please provide the

address(es) and HCAD tax account number(s). If none, please indicated under item B.

A. Address HCAD Tax Account Number

(13 digits)

1. ______________________________________________ _________________________________

2. ______________________________________________ _________________________________

3. ______________________________________________ _________________________________

4. ______________________________________________ _________________________________

5. ______________________________________________ _________________________________

6. ______________________________________________ _________________________________

7. ______________________________________________ _________________________________

8. ______________________________________________ _________________________________

9. ______________________________________________ _________________________________

10. ______________________________________________ _________________________________

List additional account numbers on a separate page.

Additional accounts are listed

 Yes  No

B. There is no real or personal property located in Cypress-Fairbanks I.S.D. boundaries to report.

Signature of Authorized Agent ____________________________________________ Date_____________

I, the undersigned for the firm named below, certify that the information concerning notification of real or personal

property located within Cypress-Fairbanks I.S.D. boundaries is true to the best of my knowledge and have completed

either item A or B above.

Vendor (Company) Name__________________________________________________________________________

Signature of Authorized Agent__________________________________________________ Date_____________

Note: This form must be executed and submitted with Bid Form.

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Canon 2077B001 Specifications Page 56