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REQUISITION NO. PAGE OF ITEM NO. DESCRIPTION QUANTITY UNIT MAKE/MODEL UNIT PRICE EXTENSION IF NOT BIDDING, DO NOT RETURN THIS FORM. IF BIDDING, BID MUST BE SIGNED. By signing this bid, bidder certifies that if a Texas address is shown as the address of the bidder, bidder qualifies as a Texas Resident Bidder as defined in Rule 1 TAC 113.6(b)(2)(E). Rev. 12/00 TERMS AND CONDITIONS: ITEMS BELOW APPLY TO AND BECOME A PART OF BID. A.

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