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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 9th day of 0ct0ber2018 <br />GOA <br />0 <br />0 00 0, C, <br />comma= .0 <br />0 «-A <br />q <br />00 <br />00 <br />IN D I WA <br />Subscribed and sworn to before me this 9th <br />My Commission Expires <br />March 1, 2020 <br />County of Residence <br />Ziolkowski Construction, Inc. <br />Contractor/Bidder (Firm) <br />Si nature of Contractor/Bidder or Its Agent <br />Bill Favors, President <br />Printed Name and Title <br />day of October _, 20 1 8 <br />Notary Public Shannon Reidenbach <br />St Joseph <br />SHANNON REIDENBACH <br />Seal <br />t u 9 S' <br />ENotary Public- Seal <br />State of Indiana <br />'r Mar <br />1 <br />My commission Expires Mar 1. 2JO20) <br />Version 7/20/2018 Contractor's Bid for Public Works - 0 <br />