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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 m day of,,& <br />20 <br />MARY E. EISNER <br />MY COMMISSION# GO 192162 <br />EXPIRES. March 9, 2022 <br />Bonded Thru Notary Public Undembre <br />L&C, --- � .... 1''........ . . . ............ . ......... <br />Convacior/Bidder <br />Sig it of Contractor/Bidder or Its Agent <br />ir <br />Printed Name and Title <br />Subscribed and sworn to before me this cla), or,-Der*4er , 20_1-'' <br />My Commission Expires_ <br />County of Residence <br />- ----------------- - . . ............. . ...................... . . <br />No au. public <br />... . . . . . ....................... ...... ----- ----- . . .. ........... . <br />