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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 1Ith day ofFebrua2019 <br />Peerless Midwest, <br />actor/Bidder ( irin, <br />Sig]"�Tatlu" <br />of COW)alnis, <br />l'or/ idler or Its Agent <br />l./General Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this 11th day of February .20 19 <br />My Commission Expires <br />OM <br />E Notary Ibiic <br />CATHY S. LANCtary Public. state of Indiana <br />CrfC"I�@�llrceI' y Cor�'nMission Expwres _.._����...� .. ..._.... ....June 06, 2023 <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />