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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 13 day of )1? ee ,?X; v 0 % � <br />ractorBid r (Firm) <br />Signature of Contractor/Bidder or Its )Agent <br />/l4,, A/ A7e)ia A, /"f et; ter«x� <br />Printed Name and Title <br />Subscribed and sworn to before me this day of /': emu. 24 <br />My Commission Expires( ��� <br />Notary Pubhc % ' a r a' , 14 ' <br />County of Residence `- i 1 <br />Version 7/28/2016 Contractor's Bid for Public Works - 6 <br />