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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 day of, 20 tj <br />iIANDANA MONA:GRAHAM <br />(VOTARY PUBLIC <br />StAL <br />STATE i'3 WD4ANA <br />MY COMMISSION EXPII,4ES APRIL 13, 2023 <br />A'S S�rv� Lb, <br />Contractor/Bidder (Fi qn) <br />Signat of Contractor/Bidder or Its Agent <br />kim �v1P ��t Oi�ra�rI'vr <br />Printed Name and Title <br />Subscribed and sworn to before me this day of , 20-LI <br />My Commission Expires `7 r D i .&4U&A,�SGt�/k- <br />Notary Public <br />County of Residence S-r. cJ <br />Version 4/17/2015 Contractor's Bid for Public Works - 6 <br />