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may result 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 20th day of Sept. , 2018 <br />Walsh & <br />of Contractor/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this 20th day of September , 20 18 <br />My Commission Expires 6/5/22 Vc(_U_O� <br />Notary Pu� Alisha #ueger <br />County of Residence St. Joseph <br />ALISHA KRUEGER <br />Notary Public, State of Indiana <br />S AL "= St. Joseph County <br />�- ivly Commission Expires <br />si;�n5ti , .tune 05, 2022 <br />F <br />Version 10/17/2017 Contractor's Bid for Public Works - 6 <br />