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may reSLIlt in forfeiture of contractual payments, <br />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 <br />ULUANS <br />ContCm <br />on jt <br />ignatt]�&:p 4QU LAUNE JEAN TURK <br />ZQ' N08TY Pubfic, S�wo of �gjjiaj�a <br />%A0 rA Pk , <br />Mariorij counly <br />% H 6126311 <br />M v (_,r, <br />V <br />(ly 09 Printed Name and 'Fitle <br />MOY 09, 2014 <br />'1000"Oko =M <br />Subscribed and sworn to before me this dav of 201L <br />I I <br />My Commission Expires 5- 06 1 t, <br />61�Totaay 4 <br />County of Residence � OL C 'k 6 F� <br />Version 10/17/2017 Contractor's Bid for Public Works - 32 <br />