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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 8 day of December 12016 <br />Business Furnishings, LLC <br />Contracto idder (Firm) <br />ignature of Contractor/Bidder or Its Agent <br />IM-Ae(( 'kc ecC-G� Vh VLA, <br />Printed Name and Title <br />Subscribed and sworn to before me this tJ ... day of �GCe �•� 20 /6 <br />My Commission Expires eJjrtur aO `��y`'�`/-1 <br />Notary Public <br />County of Residence <br />JENNIFEH STggNTZ <br />Notary Public <br />St. Joseph County, Sate of indiens <br />Commission Enpbee Fsbrusry 1.112e <br />Version 9/1/2016 Page - 9 Public Works Quote <br />116-010A Century Center <br />CEO Suites — Suite 17 Furniture <br />