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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 lk�ia�, 20 ,8 <br />Contractor/Bidder (Firm) <br />;��W <br />Signature of ontractor/Bidder or Its Agent <br />yNt4 ? Q9E7---O <br />Printed Name and Title <br />Subscribed and sworn to before me this '7 day of , 20L <br />My Commission Expires �W f Z2 `/(- <br />Notary Public <br />County of Residence <br />