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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 +h day of , 20Lej <br />Contra or/Bidder (Firm) <br />r �y <br />Signature of Contractor/13idder or Its Agent <br />Printed Name and Title <br />IT M <br />Subscribed and sworn to before me this 13. h day of , 20jq <br />My Commission Expires <br />6 otary Public <br />County of Residen 4 d <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 />