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I hereby affirm under the penalties of penurythat the facts and information contained in the foregoing bid <br />for public works are true and correct. <br />Dated this e4? day of 0 e� '7-'- , 20 / 9 <br />Contractor/Bidder {firm) <br />4i maaturc' f - A=iBid=r Its Agent <br />RIZ11-t -510r;pe-76V-5111-1 <br />Printed Name and Title <br />Subscribed and sworn to before me this day of O(AIA—X Y , 20 ?5 <br />rr <br />mp�My firesUA <br />*tary Public <br />JORDAN LEE HALBERDA <br />Notary Public - Notary Seal C unt-y of Residence St JUS <br />State ofl I a - <br />State of Indiana <br />St Joseph county <br />MY Commission Expires May 9, 2024 <br />N <br />