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Filled in By W A Jones <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 22nd day of July 1'' <br />W. A. Jones Truck Bodies & Equipment <br />Contractor/Bidder (Firm) _.. <br />Signature of Contractor/Bidder or Its Agent <br />1:.7enrny(PnIyre dales @snag _..._�...���. <br />Printed Name and Titlemmmmm ITITITITITITITITITmm <br />Subscribed and sworn to before nee this Iay o,,M L) ' , 2011 <br />My Commission Expires � <br />:. <br />Notary P 1- <br />_w... <br />County of Residence <br />