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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 2 1 +t. day of Marc la , 20AJ <br />F2C�tnSoh Wa,�e�th�ec�.s <br />Contra tor/Bidder (Firm) <br />Signature of ContractorBidder or Its Agent <br />beU,,A 1'Ut "'r �lLiv�c�,. Vhu�c,afl' <br />Printed Name and Title <br />Subscribed and sworn` to before me this )74- day io/f rW <br />t , ,CI k' j f 2f0J1ry j1 <br />My Commission Expires 140 Qu <br />Notary Public Kj A,y �L o,.-A w <br />County of Residence C <br />Ver. 13 — 6101115 <br />