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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 IT,___u24th day of Sept. .20 19 <br />t� <br />& Kelly, Inc, <br />of Iw"ktractor/Biddcr or Its Agent <br />t�stin Hilary,_ VP of Southm Bend Area <br />Printed Name and Title <br />Subscribed and sworn to before me this 24th day of Se ternbe_r. , 2019 <br />99 <br />I' <br />My Commission Expires 6/5/22 IJ ...N -, <br />Notary Ptrmic Alisna 6rueger <br />County of Residence St.µ Joseph <br />ALISHA KHUEjinijiino <br />Notary Public, State of <br />St, Joseph countMy <br />Commission ExJune <br />Oran 202 <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />