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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 i day of 20 I <br />(Firm) <br />of Con actor/Bidder or Its Agent <br />Name and Ti tic <br />Subscribed and swor <br />n to before me this day OlelI 20 19 <br />My Commission Expires m6v5, al,b CA -A—) <br />Notary Public 0 <br />County of Residence PATRICIA A. KNIGHT 'OAR a <br />FMyNotary Pubhe - State of Indiana <br />St Joseph County <br />rniaaior� aylyda Sep 5, 2024 <br />Version 7/20/2018 Contractor's Bid for Public Works - 7 <br />