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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 20_V6 <br />.1"O""I'ones C,lenitcals", "Ine" <br />Contractor/Bidder (Firm) <br />Signature of ContractorMidder or It <br />Agent <br />lit <br />(ANI-Ilk ISCA-6-5-Y, On rcl- <br />Printed Name and "Title <br />Subscribed and sworn to before me this da of <br />"Ab <br />-, My Commissionxpires U 4. V tA, i I Not ry Pu rfe' <br />County of Residence <br />KENDRA O'NE167 <br />Commission# GC 15 168 <br />my Com ........... mis <br />JuIv 2 <br />