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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 13 „w day of August , 2019 <br />Subscribed and sworn to before me this 13 <br />My Commission Expires 11.02.19 <br />REBECCA L. LEE <br />Notary Public- Seal County of Residence <br />State of Indiana <br />My Commission Expires Nov 2, 2019 <br />Version 7/20/2018 <br />Bowen Engineering Corporation <br />°onlr�rct5-,(Firm)idder <br />Signature of Conti -Actor/Bidder or Its Agent <br />Scot M. Evans,,. Secretary, Senior VP/CFO <br />Printed Name and Title <br />day of August._...._ __ w 2019 <br />N�oary�Public <br />Johnson <br />Contractor's Bid for Public Work - 7 <br />