Laserfiche WebLink
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 'D� <br />SRYCE W LONGENBERGER <br />NOTARY PUBLIC - SEAL <br />STATE OF INDIANA <br />COMMISSION NUMBER 710268 <br />MY COMMISSION EXPIRES FES, 7, 2W6 <br />day of AF(.'( , 20/ ? <br />Contractp ddr (Firm) <br />ignature of Contractor/Bidder or Its Agent....__. <br />r, 'c, <br />Printed Name and Tit) <br />Subscribed and sworn to before me this A A day of _ ► , 20 1 q <br />My Commission Expires PP b • -1 aO U , <br />I <br />Public <br />County of Residence A f o <br />