Rodgers Builders Vendor Prequalification Form Page 7
Rodgers Builders General Contractors
Vendor Prequalification Form, RBI-1/98 -- Page 7
Vendor Prequalification Form
-- continued
Signature
1. Dated this day of
, 20 .
Name of Organization:
By:
Title:
Mr.
, being duly sworn deposes and says that the
information provided herein is true and sufficiently complete so as not to be misleading.
Subscribed and sworn before me this
day of
, 20 .
Notary Public:
My commission expires: