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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 _ 17th day of Nov 20 16 <br />C & E Excavating, Inc. <br />Con tractor Firm) <br />,J Rq rp 4� ADZ D CLARK Signature of Contractor/Bidder or Its A nt <br />��ti....... 0' NOTARY PUBLIC <br />t •SEAI..SS STATE OF INDIANA Thad Bessinger, Vice President <br />ELKHARTCOUNTY— --.- — <br />s .� •• • P , COMM.0 saseal Printed Name and Title <br />'"44HOOO COMM EXPIRES 02-29-2024 <br />Subscribed and sworn to before me this 17th <br />My Commission Expires 2/29/24 <br />County of Residence <br />_da of November -'a16 <br />s _ <br />Notary Public <br />Elkhart <br />Version 10/18/2016 Contractor's Bid !or Public Works • 6 <br />