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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 (lay of � 20 m <br />Kemira Water Solutions, <br />ConrtBM r (Firm) <br />Signature ... .� ....._.. .____......�. <br />gn of Contractor/Bidder or Its Agent <br />Christina M. Im rogno Gomrnrrpi N SUpport Manager <br />Printed Name and Title <br />Subscribed and swornto before me this (Pair of 1mm , 20 <br />My Commission Expires <br />()t;hr .PubbIic <br />County of Residence <br />Marsha K Copeland <br />Notary Public State of Kansas <br />My Apt Expires <br />