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FORMTEXT  Business Name  FORMTEXT       Business Phone ( FORMTEXT 718 )  FORMTEXT      Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT NYZip  FORMTEXT      Type of Contractor:  FORMDROPDOWN  5 Cost Information  FORMCHECKBOX  Estimated FORMCHECKBOX  ActualCost:  FORMTEXT       FORMDROPDOWN  7 Statements and Signatures . .Notarization Falsification of any statement is a misdemeanor under Section 26-124 of the Administrative Code and is punishable by a fine or imprisonment, or both. It is unlawful to give a city employee, or for a city employee to accept, any benefit, monetary or otherwise, either, either as a gratuity for properly performing the job or in exchange for special consideration. 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[- - ! c- - ! $- - ! ,- - ! - - !^ - - !^ - -)2 :  Type of Contractor: +&-)+5,+)', - 2 :  Owner;9-+'' -  2 : j  Y- '- !1 - - !T1 - - !1 - - !D1 - - !1 [- - !1 c- - !1 $- - !1 ,- - !1 - - !]9 - - ! - - ! - - !O - - !]9 - - ! - - ! - - 2 `I Y*- A2  $  5 Cost Information 4D8278#Q477- 2    Y9 '- ! - - ! - - ! - - ! - - ! - - !n - - !n - -'--   - -' - 2  - 2 H Estimatedn+!9$%(- 2 s ,'-'--   - -' - 2  - 2 Actual+#&$- 2  -'- 2  Cost0'!-2  :  2   2   % 2   2   & 2   2   % 2 3  2 3  & 2 Y  2 Y  & 2   , '  2  OT;-'' -  2 C   T- '- ! - - ! - - ! - - ! - - ! - - ! - - ! - - !F - - ! - - ! - - ! - - ! - - ! - - ! - - !] - - ! - - ! - - ! - - !] - - ! - - !P - - !] - - ! - - ! - - !] - - ! - - ! - - 2 `I T6 o- 2  7T4- 2   T- 12 1 Statements and Signatures=44Q472479=7647#42 2   T8'o -  2   NotarizationD84#.487 2    T7'- !o- - !o- - !0 o- - !o - - !o - - !o - - !o - - !mo - - !o- - !o- - !m- - !m - - !m - - !m- -  72   State of New York, County of +$%'0$1('#0'&%"'- 2 *  2 *  T) 2 S  2 S  T* 2 }  2 }  T) 2   2   T* 2   2   T*- 2   T(- !- - !- - !- - !- - ! - - ! - - ! - - ! - - ! - - ! - - ! - - ! - - ![ - - ! - - !- - !- - !d- - !d - - !d - - !d - -42 t  Sworn to before me this f07,+,-(,(@)+$-2 l. 26//2 l  t-2 t day of-)&,-2 l  t2 l November>2,/I3/ 2 l  6 2 l  62 l 2001////- 2 `l  63- !e- - !e - - !e - - !we - - !e - - !m- - !m - - !m - - !m - @Times New RomanLSwUSw0- 2   @"Swis721 BT LSwUSw0-p2 ?C Falsification of any statement is a misdemeanor under Section 26      . .  . #  2 ?E -52 ?V 124 of the Administrative " .   b2 : Code and is punishable by a fine or imprisonment, or both.&         .  .  2 t   2   2  It is  2 J\  unlawful to give a city employee, or for a city employee to accept, any benefit, monetary  '   .  .!    .2 C^ or otherwise, either, either as a gratuity for properly performing the job or in exchange for '         .      t2 F special consideration. Violation is punishable by imprisonment or fin     !         .  . 2 ^  e or both.! 2 H  !- 2   Signature.+(&$&% 2    (- !- - ! - - ! - - !w - - ! - - !( - - !(  - - !(  - - !(  - -#2 ; Owners Statement;9-+)2*+B+- 2 ;t  ,- !4- - !: 4- - !4 - - !4 - - !w4 - - !4 - - !c<- - !c< - - !c< - - !c< -  @Times New RomanLSwUSw0- '-- - -' -  2   - n2 *B Based on figures submitted to me by my contractors who bid for the,$!%('&(&%!!&(9%''8%("9""'&$#'!1%'(('&%2 (   work 1'#q2  D described in the aforementioned job, and upon my best judgement and (%!#'%'&%%#'%8%&'%%''($&(&''&9"(% &('%9$&$&'|2 ^ K estimate, the cost of the proposed work for the aforementioned job will be %!9$%&$#'!'%%('(' $(0'#'&$$'%9%&'&$(&'1($- +2   the cost stated above&%#'!!$%($('%- 2   - 2 &   &- 2   .- 2    - 2 *  .- 2    2- !- - !: - - ! - - ! - - ! - - !|- - !| - - !| - - !| -  - '-- 4- -' -  2 ,  - k2 ?1@ The final cost of the work described in the aforementioned job w&&%&$#'!'&$1'#'%!#(%'&&%#'%8%&'%%''(12 ?  as the $!&$- %2   cost stated abovey#'!!$%($'' %- 2 1  @Times New RomanLSwUSw0- 2 +&   2- 2 :  Seal+%$- 2 K?   - !#- - !: #- - !# - - !# - - !# - - !+- - !+ - - !+ - - !+ - @Times New RomanLSwUSw0--@"Swis721 BT LSwUSw0-2  Name*2 - 2   -2   e- 2   2   * 2   2   * 2 -  2 -  * 2 W  2 W  * 2   2   *- 2   - !- - !: - - ! - - ! - - ! - - !w - - ! - - ! - - !d- - !d - -2 i  Signature % #! ! @"Swis721 BT 4LSwUSw0-w2 iH  -2 i Date* - 2 i  --b2 :  -2  November>2,/I4/ 2 %  2 = 26// 2  ,6 2   62  2001////- 2    6- !b- - !: b- - !b - - !j- - !j - -+2 M Contractors Statement8.-*).)2*+B+-- 2 M  6,- !F- - !: F- - !F - - !eN- - !eN - ---2  Name*2 - 2   6-2   e- 2   2   6* 2   2   6* 2 -  2 -  6* 2 W  2 W  6* 2   2   6*- 2   6- !- - !: - - ! - - !l- - !l - -2 .  Signature % #! ! -w2 .H  -2 . Date* - 2 .  6--b2 h:  -2 t November>2,/I4/ 2 t%  62 t= 26// 2 t ,6 2 t  62 t 2001////- 2    6- !'- - !: '- - !' - - !'/- - !V- - !V- - !: V- - !'/ - - !V - - !V - - 2 ^`I 66- 2 `I 62  `IRevised 6 $ 2 `I-62 `I88 PW!/ 2 `I-6 2 `I36 2 `I 6'-                     Friedman, PEa} 2 1 Filing Status Title  FMicrosoft Word Document MSWordDocWord.Document.89q i<@< Normal5CJKH_HmH sH tH N@N Heading 1$&#$/@&5CJOJQJN@N Heading 2$&#$/@&5CJOJQJ8@8 Heading 3$@& CJOJQJL@L Heading 4$$0$@&^$` CJ OJQJF@F Heading 5$$ ,@&a$ CJOJQJ>@> Heading 6$$@&a$ CJOJQJ<A@< Default Paragraph Font,@, Header  !, @, Footer  !6P@6 Body Text 2 CJOJQJ6B@"6 Body Text5CJOJQJ<Q@2< Body Text 3$a$ CJ OJQJ12Lbc  12Lbcf p9RSd0JKl4ShiQRn,-2Kbz{,-.JKMO\]^  =>?@ R S T U q r ? @ V W s t A B C D V  000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000808080PPS <)!$*16b" l X *BX,\: "#%&'()+,-./023457+9Idt (.6BHXdjx+1?KQXdf|)59=IOZfls(*@LR *07CIQ]`frx*)5;[x{ ] i o  + = _ k q  - ? 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