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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 �a day of Ll , 20L <br />Contractor/Bidder Virzn) <br />1 S <br />Sing/na ire of Contr tor/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this �` day o& JV14-)U , 20—F <br />My Commission Expires 1Z-�'� <br />No ublic � <br />County of Residence`' <br />DIANE M GONZALES <br />��` h.••"•: ��. Notary Public, State of tndiana <br />w*;��O1A'+� .* <br />la Porte County <br />'. SEAt,� <br />Commission N 8fi9310 <br />�o <br />My commission Expires <br />June 17, 2023 <br />