Laserfiche WebLink
I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid <br />for public works arc true and correct. <br />Dated this -2y day of &4-Err 20 14 <br />C�onliaS.t521�8i�ldet�t <br />\ Si`gnatu-re`e o'f—fContractor/Bidder or Its Agent <br />Printed Name and Title <br />T`r'° <br />Subscribed and sworn to before me this day ofbCC , 20_L(_O <br />My Commission Expires M� alA li212�D/�2 1 ' 1 A,( nL D Vv <br />Notary Publ <br />ik <br />County of Residence <br />4,pY PGe Megan L. Sutter, Notary Public <br />+ SEAL' Comm. Expires Mar. 12, 2021 <br />Resides in Elkhart Co.,IN <br />%4%0 Comm. Number 642859 <br />Version 7/28/2016 Contractor's Bid for Public Works - 6 <br />