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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 12th day of August 20 20 <br />99hIIIIfr11t1/ <br />q�...... ca r <br />JENNY MORELAND <br />NOTARY PUBLIC <br />STATE OF OHIO <br />Comm, Expires <br />2 <br />-14-2023 <br />Recorded in <br />Butler County <br />High Concrete Group LLC <br />Contractor/Bidder (Firm) <br />C^4W A-p- <br />Signature of Contractor/Bidder or Its Agent <br />Aaron Vnuk,idwest Sales Manager <br />Printed Name and <br />Title <br />Subscribed and sworn to before me this day of _IV' 20r= <br />My Commission Expires <br />Notary Public <br />v <br />County of Residence <br />Version 1/17/2019 Contractor's Bid for Public Works - 7 <br />