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may result in forfeiture of contractual payments. <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 21 st day of January, 2019 <br />Subscribed and sworn to before me this 21 st <br />My Commission Expires CQ <br />County of Residence <br />Teresa Lynn Redick <br />LNolavy Public aeal 81ateor Indlane <br />N IKh,art County <br />Conrmniaanon #/ 7074 4y Cornm issmorn Expres 1 t4M2025 <br />Version 7/20/2018 Contractors Bid for Public Works - 7 <br />� �wlliiiil� <br />Slatile RoofinrJ g. t ra tO1 o., INC.. <br />Contractor/Bid <br />Signature of Gont cto r Its ht <br />A <br />Gerald Longfs '?resident <br />Printed Namearr�'lim <br />0)0v <br />day of January 21 <br />.. ct:k <br />Notary Public <br />