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I hereby affirm under the penalties of peKjuiy that the facts and information contained in the foregoing bid <br />for public works are trine and correct. <br />Dated this day of '. , 20 <br />a <br />t" <br />MARY E EISN�ER <br />MY COMMISSION #FF099586 S gna ure of Contractor/Bidder or Its Agent <br />EXPIRES March 9, 2018 ,r <br />�aoa) 3sa.o153� NoridallotarySerWcexom r <br />Printed Name and Title S*&Ufk, AAArkgftw, j <br />Subscribed and sworn to before me this day of 20 17 <br />My Commission Expires <br />Notary Pri' lic <br />County of Residence <br />Ver. 13 — 0101115 <br />