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_GENERAL DOCUMENTS - C1981017 (272)
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_GENERAL DOCUMENTS - C1981017 (272)
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Last modified
11/2/2020 11:25:23 AM
Creation date
6/22/2012 1:29:08 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981017
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
Bid Documents (IMP) 2000Tree Planting
Permit Index Doc Type
General Correspondence
Media Type
D
Archive
No
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DRMS Re-OCR
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Signifies Re-OCR Process Performed
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cot <br /> c oirado _ <br /> rocurement <br /> STATE <br /> TE OF COLORADO -� - <br /> LA <br /> egistrr <br /> Procurement Registry <br /> for Colorado Business �7 r. <br /> a_rt tnxa C�Iur.Wn UiHa,�C.nulmm� <br /> The State of Colorado,through its Department of Regulatory Agencies,maintains a master list of firms that may be used in the State's <br /> discretionary procurement process. The list is posted on our web site for use by all State employees who make purchasing decisions. <br /> By completing this form and returning it with the requested documents,your firm will be registered on that list. If this form is <br /> returned incomplete or without the supporting documents your firm may not be registered. Questions about the registry should be <br /> directed to(303) 894-2355. Please return the completed form and requested documents to: <br /> Division of Minerals and Geology <br /> 1313 Sherman St., Rm.21-5 <br /> Denver,CO 80203 <br /> 1. Legal Name of Business <br /> BITTERROOT RESTORATION INC. FEIN 81-0440317 <br /> List dba, if any N <br /> 2. Mailing address 445 Quast Lane <br /> City Corvallis State MT Zip+4 59828 <br /> 3. Business phone 406 961-4991 Fax 406 961-4626 <br /> 4. E-mail addressmiket@bitterrootrestoration.com Web address www.bitterrootrestoration.com <br /> 5. Name of Contact person: Last <br /> Thomas First Mike <br /> 6. Type of work the company performs(use sic codes found at www.dora.state.us/Certification/sic.htm) 0851 <br /> 7. Ownership information (use additional pages if necessary): <br /> awNEn M. GFrtn :ETlcrrY, ,; <br /> IvlmDts, <br /> "LAST NAME ;:.. c; a '.: - Ea,• CB <br /> Patrick M. 38% M WH <br /> Burke M WH <br /> Maurice W. 26% <br /> nn 14% F WH <br /> Burke Mary ` <br /> 'codes a*f.•�,, T,::. � - <br /> ;�.: Gender/Type codes whale , ".Ethnicity, ,' :N. <br /> • anPacific :AI'k r. iispantc <br /> w :4Female °; H <br /> r' non=Hispanic): 'W <br /> a. ., .. ,' '=Black. SL>K <br /> ..*4 oWned'by Tribe _�; <br /> ;. :N�,�; <br /> 'Pulilicly ="Native'American <br /> held <br /> 8. Is your company registered on the BIDS system? Y® NF�- <br /> Signature �' // Leonard BallekTitle Vice—President Date July 24, 200 <br /> visit these web sites for information on BIDS:vmv essa state co us:DBE Certification:www.dora.state.co.us/Certification <br />
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