State Form 42279 - Invitation To Bid - Indiana Department Of Transportation
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1INDIANA DEPARTMENT OF TRANSPORTATION
Page number
Total number of pages
INVITATION TO BID
OF
State Form 42279 (R 8 / 7-99)
Approved by State Board of Accounts 1999
Requisition number
Vendor’s Name
and
Requested by and bill to:
FOR FURTHER INFORMATION, PLEASE CONTACT:
Address
INDOT Contact Person:
Telephone Number:
Remit to:
The request should be returned to:
Ship to:
REMIT TO FED. I.D.#
1099 CODE
Bid due date:
PRICES VALID FOR NINETY (90) DAYS FROM BID
Time due:
DUE DATE UNLESS OTHERWISE STATED. PRICES
ESCROW CODE:
WILL BE CONSIDERED FIRM F.O.B. DESTINATION.
LINE#
QUANTITY
UNIT
ARTICLE and DESCRIPTION
UNIT
PRICE
AMOUNT
REQUESTED
Receipt of supplies/services required by
business days ARO
CONTRACT TERMS AND CONDITIONS SHALL BE INCORPORATED HEREIN.
TOTAL
To be valid, all bids must be manually signed.
Name of Company
Signature
Street Address
Printed/typed name
City,state,ZIP code
Telephone number
(
)
Date (month,day,year)
FAX number
(
)
.
.
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