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may result in forfeiture of contractual payments. <br />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 14th day of May , 2019 <br />toMt?deg <br />dP V <br />n�P O RA TF e <br />5E, <br />M <br />or Its Agent <br />Dustin Hilary, VP of South Bend Area <br />Printed Name and Title <br />Subscribed and sworn to before me this 14th day of M r ...... �) 20.19 <br />My Commission Expires __ ,,,,, 6/5/22 <br />Notary 1 IX 1'i Alish rueer ___. <br />County of Residence St. Joseph <br />ar'a ALI;SHA KRUEGER <br />,Notary Public, Stete of Indiarun <br />�V. St. Joseph county <br />My commission Expire°:, <br />w`"' iun4 O5w 2022 <br />h PPu oll <br />Version 7/20/2018 Contractor's Bid for Public Works - 6 <br />