Laserfiche WebLink
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 day of�AmVg , 261 <br />Contra orl idder,(Fir <br />Signature ontract IB)dder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this day of , 20_ <br />My Commission Expires <br />Notary Public <br />County of Residence <br />\ 0 \\� k�43 A <br />Ver. 12 — 9/16/13 <br />