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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 9 IT day of N* k k-' 20 Ck <br />(".PCEls �AACQ� <br />. ....... --- <br />Cotitractor ,/Bidde034m�. <br />------- ----- <br />Signature of Contractor/Bidder or Its Agent <br />- "" A n <br />b 0"A k�, kJ <br />Printed Name and Title <br />Subscribed and sworn to before me this 0 Yk day of 9kp �- k L- 20 <br />My Commission Expires .!D,9,4��Jzv <br />ary Public <br />County of Residence <br />�Ds L <br />—, <br />FELICIA MARIE GANNON <br />St. Joseph County <br />Mr <br />My Commission Expires <br />J !R!,Tbru 30,2022 <br />