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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 22 day of Dec , 2016 <br />onstr° 77Gen <br />2 MpgN'� e of Con tor, Y <br />0%S n <br />•..•' Ian Bli Vice P <br />K _ .I'r-rnted Name and Title <br />or Its Agent <br />Subscribed and sworn to before me this 22 day of December , 2016 <br />My Commission Expires3 <br />Not Riblic <br />County of Residence �� �S'PJN— <br />y Public State of Indiana <br />gt Joseph County <br />rv�ir,q Nov 20. 2 <br />Version 7/28/2016 Contractor's Bid for Public Works - 6 <br />