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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. Q <br />Dated this day of 1 � `� 20171 <br />Contr or/Bidder (Finn) <br />Signature of Contractor/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this e`f/I day of ��` , 2017 <br />My Commission Expires 'Y.� <br />Notary Public <br />County of Residence <br />Barbara S. Stevens <br />resident Of <br />Shelby County <br />�' •"°�"` <br />My Commission Expires: <br />t r....--._ o An !•1 C 11 A <br />