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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 t 3rh day of Tina, 2017 <br />Herrman & Goetz, Inc. <br />Contractor/Bidder (Firm) <br />rgnaturc o ontra ir or ddeIts Agent <br />Larry Cripe, Power -of -Attorney <br />Printed Name and Title <br />Subscribed and sworn to before me thisy ith day of .r,,,,a 520 17 <br />My Commission Expires 7 / 1312022 2 .dam <br />Notary Public Catherine J . Gruber <br />County of Residence St. Joseph <br />Version 4/17/2015 Contractor's Bid for Public Works - 6 <br />