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rnay result in forfeiture of contractual payinents. <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 9th day of October , 20 18 <br />Gibson -Lewis, LLC <br />Contractor Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />Robert A. Lingenfelter, President <br />Printed Name and Title <br />Subscribed and sworn to before me this 'nth ,by of October 2018 <br />My Commission Expires 08/05/2023 11 �_", <br />.., <br />I �_frhlo o w=ni , ec <br />Irk <br />No ry Public, <br />County of Residence St. Joseph <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />