ALABAMA STATE DEPARTMENT OF EDUCATION FORM T-2 January 2017 BID DEPOSIT FORM 2017-2018 ADOPTION OF TEXTBOOKS PUBLISHING COMPANY _______________________________________________ Check Number: ________________________ Amount: _____________________ Notice of receipt and deposit of check should be sent to the person designated below: Name: _______________________________________________________ Telephone Number: ______________________ Fax Number: ___________________ Return Warrant (Check) should be made payable to the company name given below and mailed to the attention of the person designated at the following address: Company Name: ______________________________________________ Attention of: ______________________________________________ Address: ______________________________________________ Post Office or Street Address ______________________________________________ City State Zip Signature of Official of Company _______________________________ IMPORTANT: Please attach Form W-9, Request for Taxpayer Identification Number and Certification. For state use only Signed: ___________________________________________ State Textbook Office Signed: ___________________________________________ Accounting, Alabama State Department of Education Signed: ___________________________________________ Accounting, Alabama State Department of Education ________________________ Date Check Received ________________________ Date Check Deposited ________________________ Date Return Warrant Mailed
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