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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 ?~-c)' day of-Pna , 20 117 <br />Contractor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this day of u ,, , 20 1 <br />My Commission Expires 1/1 <br />Notary Public <br />County of Residence 0 <br />MAYER 3EREMIAS <br />Notary Pudic - State Of New York <br />Na. O1dE6343141 <br />QuWMW In Orange County <br />My Commission Expires June 06, 2020 <br />7 <br />