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t 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 8th day of December , 20 16 <br />RJE Business Interiors <br />Contractor/Bidder (Fii <br />Signature of C tractor/Bid or Its Agent <br />Nancy Wright, New Business Development <br />Printed Name and Title <br />Subscribed and sworn to before me this 8 day of20 «.. <br />My Commission Expires f Z - 2;5 - /-7 L,eveA_.l� Zlfl o )7 <br />Notary Public <br />MICHELLE HAZEL County of Residence <br />Notary Public - Seal <br />State Of Indiana <br />My Commission Expires Nov 23, 2017 <br />Version 9/1/2016 Page - 9 Public Works Quote <br />116-010A Century Center <br />CEO Suites — Suite 17 Furniture <br />