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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 11 th day of J u ne , 2019 <br />Rieth-Riley Construction Co., Inc. <br />Contractor/Bidder (l i.r <br />gna ontr tder or Its Agent <br />Joshu McCormick Sales Manager <br />Printed Name and Title <br />Subscribed and sworn to before me this 11 th y ri <br />June , 2 " <br />My Commission Expires 4/18/23 <br />Notary Publ(c Dawn E. Armstr <br />County of Residence LaPorte <br />�.ds <br />)�FW�,N�IA���n5i4S�IR�s0 i�l G <br />�,I,M <br />A <br />ry PUMIG, Stateof I111 Wa��� <br />tr <br />Im��r�utw� uri� + aM�u.0 <br />y <br />SE '+� <br />4,ry,p'puywW�"�W'N�Ilwsn�' in r# �'`up�u�W'"�9 <br />s�Zh <br />W <br />MM (rco I�PIivq WuYW���I�n WY4IlAii eli <br />ffl 8 mm <br />YI I�IppIWUN,IVgRImIUmWwyyW�V,W,p <br />IVVIV111UIpp011�N <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />