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The undersigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co -partnership, or corporation herein first named, as of <br />the date herein first given; that this statement is for the express purpose of inducing the party to whom it is submitted to award the submitter a contract; and that any <br />depository, vendor or other agency herein named is hereby authorized to supply such party with any information necessary to verify this statement. <br />�ottf cta�on, Inc. <br />NOTE: A co -partnership must give firm name and signatures of all partners. A <br />corporation must give full corporate name, signature of official and affix corporate seal. <br />Affidavit for Individual <br />STATE OF _ mm •_... m <br />COUNTY OF .... -. .�.___-_.._.M _. } SS: <br />being duly sworn, deposes and says that <br />the foregoing financial statement, taken from his books, is a true and accurate statement of his financ <br />ial condition as of the date thereof and that the <br />answers to the foregoing interrogatories are true. <br />Subscribed and sworn to before me this <br />(Applicant must sign here) <br />dayof ___ ..___ -�-.......... wa .�....m._-_�_......- 20 <br />Not= Public <br />Affidavit for Co -Partnership <br />STATE OF <br />COUNTY OF ( SS.- <br />...... .......... __ --------- being duly sworn, deposes and says that <br />lie is a member of the firm of w_; that he is familiar with the <br />books of the said firm showing its financial condition; that the foregoing financial statement, taken from the books of said firm, is a true and accurate <br />statement of the financial condition of the said firm as of the date thereof and that the answer to the foregoing interrogatories are true. <br />Subscribed and sworn to before me this <br />day of ...... _� ._.-1— 20_ <br />Notary Public <br />Affidavit for Corporation <br />STATE OF _IaLf na <br />COUNTY OF Shelby . _ SS: <br />VW <br />(Member of firm must sign here) <br />being duly sworn, deposes and says that he is <br />ent <br />ction, <br />desscribeddi and which executed the foregoing statement; that he is familiar with mmbooks ofthe said <br />In0 corporation <br />g g � _ the the books of the said corporation showing its financial condition; that <br />the foregoing financial statement, taken from the books of the said corporation, is a trite and accurate statement of the financial condition of said <br />corporation as of the date thereof and that the answers to the foregoing interrogatories are true. <br />Subscribed and sworn to before me this <br />E)14 1 S BeaWfficer must sign h m) <br />) _ _. day of Mafc�n...... ............. 20 jj� a l <br />Shannon E. Fogleatiry Public <br />' PUo-" <br />01, 0 1 r<t' 0 k <br />