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! hereby aftir111 under the penalties of per jury that the facts and information contained in the foregoing bid <br />for public works are tare and correct. <br />Dated this 13th day of June, 20_L7 <br />Herrman & Goetz Inc. <br />Contractor/Bidder (Finn) <br />Signature Contr r/Bidder or Its Agent <br />_Larry Cripe, Power —of —Attorney <br />Printed Narne and Title <br />Subscribed and sworn to before me this i ` th day <br />of TnnL- , 20--17 <br />My Cornrnission Expires 7/ 13/2022 <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 />