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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 />November <br />Dated this 8th day of , 2016 <br />cO OVOR q?A.'A <br />Y� <br />o:• SEAL <br />a� �: <br />Subscribed and sworn to before me this 8th <br />My Commission Expires March 1, 2020 <br />County of Residence <br />Ziolkowski Construction- Inc. <br />Contractor/Bidder (Firm) <br />Signature ofContractor/Bidder or Its Agent <br />Bill Favors, President <br />Printed Name and Title <br />day of November 2016 <br />dt 1LJC <br />Notary Public Shannon Reidenbach <br />St Joseph (IN) <br />SHANNON REIDENBACH <br />Notary Public- Seal <br />State of Indiana <br />My Commission Expires Mar 1. 2020 <br />Version 7/28/2016 Contractor's Bid for Public Works - 6 <br />