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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 t ? day of , 20 f? <br />,. .. <br />. ..................... <br />n trac, <br />��'o ordBi ' F irinl <br />of Uontract r/Bidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this day of „ 20tol <br />My Commission Expires [2wD6,A __ <br />Notary Public <br />County of Residence <br />MONO <br />OFFICIAL SEAL <br />LINDSEY TANIS <br />NOTARY PUBLIC - STATE OF ILUNOIS <br />W COF MSSION EXPIRESA11=4 <br />5 <br />