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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. ar-e�Aot <br />Dated this Op V7% day of T , 20� <br />Contractor/Bidder (Fir <br />MARTIN WILSON <br />Seal <br />Notary Public - State of Indiana t of Contra or <br />Elkhart County <br />My Commission Expires Mar 15, 2018 <br />Printed Name and Title <br />Subscribed and sworn to before me this 0 day of Dp% ems- / , 20 <br />My Commission Expires 3 IS 1g //���I�f�a G <br />Notary Poblic <br />County of Residence ky-hay4- <br />