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I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid <br />for public works are true and correct. <br />Dated this 1 Sth day of &UgjLaL 2016 <br />S' nature of Contractor/Bidder or Its Agent <br />/ Dustin HilaN, Area Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this 18th day of Au u t 2016 <br />My Commission Expires May 4, 2018 <br />Notary Public I J Fuchs <br />County of Residence St Joseph <br />PAULA J FUCHS <br />Notary Public, State of Indiana <br />St. Joseph County <br />Eck, <br />CommisaionExpires <br />Ma 4, 2018 <br />Version 7/31/2015 Contractor's Bid for Public Works - 6 <br />