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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 2v'4 day of _A- YbAer , 2OJ(o. <br />5LL ticl e, Or i , 112e. <br />Contract dd irm) <br />Signature of Contracto(/Bi der or Its Agent <br />Printed Name and litle <br />ti <br />Subscribed and sworn to before me this 20 day of 20 1 � <br />My Commission Expires /�zo�23 <br />J�Ot6ry Public <br />County of Residence � toe ICC <br />e <br />JOHM COMWAY <br />Notary Public <br />swr * Courq. NMI of himm <br />CO =WOn &PiWM JavM i0. M3 <br />Version 9/1/2016 Page - 19 Public Works Quote <br />