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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 3- day of 20 1 S <br />Subscribed and sworn to before me this <br />My Commission Expires nV4a1 , <br />County of Residence <br />Contractor/Bidder (FirmJ <br />Signa-tdre of Contract/Bidder or Its Agent <br />Printed Name and Title <br />day of rn, 20 <br />Notary Publi ' <br />VICKI SZILAGYi <br />hpTARV': . <br />La Porte County <br />My Commission Expires <br />March 14, 2020 <br />