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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 e' ,l day of M64, 20 1 <br />Contractidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />tA ft 4,40 <br />Printed Name and Title <br />Subscribed and sworn to before me this day of / lm(' h 20 <br />My Commission Expires r! t <br />otary Public <br />County of Residence St i <br />JERRET LEE HARDMAN <br />Notary Public — Seal <br />St Joseph County — State of Indiana <br />Commission Number 709134 <br />My Commission Expires Jan 9, 2026 <br />