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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 27th day of June , 20 17 <br />Nx, CNN LY i P1 Nr,Or, > C1 <br />Si <br />��-• ,ww l <br />��, •• ENO ��� <br />B�'�PPPP@i144'e� <br />Kel <br />or Its Agent <br />stin Hilary, South Bend Area <br />led Name and Title <br />Subscribed and sworn to before me this 27th day of June , 20 17 <br />My Commission Expires 615122 <br />Notar lic 1 Alisha Krueger <br />County of Residence St. Joseph <br />V' <br />ALISHA KRUEGI=R <br />A&e� r Notary <br />Public, State of Indiana <br />�.SEAt,:"" <br />St. Joseph county <br />My commission Expires <br />'t'DIA�P4� <br />Juns06, 2022 <br />Version 10/17/2016 Contractor's Bid for Public Works - 6 Addendum 1 <br />