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may result in forfeiture of contractual payments. <br />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 27 th day of'3une , 2017 <br />Ritschard Bros., Inc. <br />ntractor/Bidder (I~ i <br />Signature of Contractor/Bidder or Its Agent <br />Rachelle L. Dolniak, President <br />Printed Name and Title <br />Subscribed and sworn to before me this 2 7 th day of une , 20 <br />I <br />My Commission Expires 9/$'_Y111111�/i, <br />�'%, N t y ublic <br />ort9dP�deie St. Joseph <br />.�O�' IND�P��.. <br />1110 1111W\`\ <br />Version 10/17/2016 Contractor's Bid for Public Works - 6 <br />