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I hereby affirm under the penalties of peijury that the facts and information contained in the foregoing bid <br />for public works are true and correct. <br />Dated this 49 day of , 20 10 <br />Subscribed and sworn to before me this (y TA <br />My Commission Expires /AZ//c2 y <br />County of Residence <br />idder (Firm) <br />Sig ture of Contractor/B'dder or Its Agent <br />Prin ed Name and Title <br />.day of C /U �QL, 20,/? <br />6 As,-&77L— <br />f4otamOdM � <br />%. \joS C l <br />c• <br />"� HARRY P SiNGLETO, N <br />�JTE <br />e • " ; Notary <br />Public. Stale of ; <br />,OIARr ; <br />sl. Joseph Coun: <br />`k= <br />Commission # 676: , <br />. SFAS r <br />��i�•�H:��*���` <br />Commission xRilc= <br />Y E <br />January 21202A <br />Version 7/2012018 <br />Contractor's Bid for Public Works - 6 <br />