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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 day of u , 20LT <br />�C&X' n (' 'n mgzy c L� U11� <br />Con actor/Bidden birm) <br />S <br />Signa re of Contr for/Bidder• or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this day ofJ"-) , i}= <br />My Commission Expires 11 wo 2 <br />County of Residence <br />DIANE M GONZALES <br />`���`AtrEr►4p <br />♦ 5�.... OF �i <br />�.�Notary Public. State of Indiana <br />La Porte County <br />SFA�,� <br />Commission M 669310 <br />�� <br />My Commission Expires <br />June 17, 2023 <br />No l�u-4blic <br />