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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. 4L.111 <br />Dated this day of 20 J 7, <br />/ / f/ .L /,L �I <br />Contr or/Btdder (Finn) <br />Signature of Contractor/Bidder or Its Agent <br />/%'fie f U <br />O <br />Printed Name and Title <br />Subscribed and sworn to before me this e`fl day of / / `^ , 2o-L7 <br />My Commission Expires -91� <br />Notary Public <br />County of Residence'1 <br />01- <br />Barbara S. Stevens <br />,,•�';�-,, <br />Resident Of <br />Shelby County <br />•"°^"`• <br />My Commission Expires: <br />o n7t"tCM A <br />