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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. 117 <br />Dated this 8th day of Nov 2016 <br />of Contractor/Bidder or Its Agent <br />Dustin Hilary, Area Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this 8th oft <br />4ber20 <br />My Commission Expires May 4, 2018Notary Publihs <br />County of Residence St <br />PAW-4 JJ FUCHS" <br />g^ hlctaN PUGI c, Staia of Indiana <br />a Jsaw C0uniy <br />Odmtrt aainit gxpl ea <br />a 4 Mitl <br />Version 7/28/2016 Contractor's Bid for Public Works - 6 <br />