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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 day of <br />MICAH F. BUCK <br />NOTARY PUBLIC <br />STATE OF COLORADO <br />NOTARY ID 20184041919 <br />MY COMMISSION EXPIRES 10/25/2020 <br />Contractor/Bidder ('f <br />n <br />Signature of Contractor/Bidder or Its Agent <br />r re f I of " <br />Printed Name and Title <br />? n <br />Subscribed and sworn to befor, me this J fct day of , 20 lQ, <br />My Commission Expires G ze <br />Notary Public k/ County of Residence -C` <br />