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Dated this 14 th day of Nov. , 20 17 <br />Herrman & Goetz, Inc. <br />Contractor/Bidder (Firm) <br />Signature antra orBidder or Its Agent <br />Larry Cripe, Power -of --Attorney <br />Printed Name and Title , <br />Subscribed and sworn to before me this 14th day of Nov. 120 17 <br />My Commission Expires &Lk-W4-- <br />Notary Public Catherine J . Gruber <br />County of Residence <br />