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I hereby affirm Under the penalties of pe1ju1-y that the facts and information contained in the foregoing bid <br />for public works are true and correct. <br />Dated this 1 It-h day of june, 20 17 <br />Herrman_&_Goetz, Inc. <br />Contractor/Bidder (Firm) <br />ignature of ontract idder or Its Agent <br />Larry Cripe, Power -of --Attorney. <br />Printed Name and Title <br />Subscribed and sworn to before nie this 13th day of , 20 17 <br />My Commission Expires 7113/2022 96"Av <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 />