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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 ZZ day of L"ec , 2016 <br />B3 5CO, /4c. <br />Contractor/Bidder (Firm) <br />Signature of Contra orBidder or Its Agent <br />v , /l ��E v $E %I CxC err <br />Printed Name and Title <br />Subscribed and sworn to before me this day of ���' 201-j� <br />My Commission Expires 1 I ✓1�1.��a�,�DCQ <br />NotaryPublic <br />County of Residence __TOP Ag tv T <br />;..P _.._NDA KIRBy <br />_ 1 j , N0t®fy Public State of Texas <br />My COmmisslon Expires <br />Februcry 03, 2018 <br />