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Oct, 28, 2016 1:36PM No. 1543 P. 4/8 <br />products or foundry products on this project if awarded. I understand that violations hereunder <br />may result in forfeiture of contractual payments. <br />R>Y <br />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 day of6c4-b;y, 20,L� <br />M. Michele A. Ringhoffer <br />R St. Joseph County <br />�. My Commission F�rpires <br />March 30, 2023 <br />Att an !i-ll �ScI t rgf h <br />Printe ame and itle <br />Subscribed and sworn to before me this -74-h day of NOVemiae!20 1 (./ <br />My CommissionExpires MnMH330, aOa3 NLZ-4-� I /� <br />Notary Public <br />County of Residence S"i'• SoSep� <br />Version 8 — 02/25/14 <br />