Laserfiche WebLink
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 -c - day of v , 201—/ <br />Contractor/Bidder (Firm) <br />Signature o Contractor/Bidder or Its Agent <br />a 7 �k4f& f �UGLu.6er^ <br />Printed Name and Title <br />Subscribed and sworn to before me this day of )z,-ne-- , 20,Li <br />My Commission Expires M rt aoC-4-0 <br />-� Notary Public <br />County of Residence J'T= 5CSSe io <br />DIANNA LYNNE PITTMAN, <br />Notary Public . <br />A Resident of St. Joseph County, IN <br />My Commission Expires 7/11/2020 <br />Version 4/17/2015 Contractor's Bid for Public Works - 6 <br />