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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 8th day of October, 2019 <br />Michiana Contracting Inc <br />Contractor/BidderI"dA�m <br />Signature of Conti or/'bidder or Its Agent <br />_ Scott Kirkpatrick, President <br />Printed Name and Title <br />Subscribed and sworn to before me this 8th day of October 12019 <br />p <br />My Commission Expires /2-.2 <br />Notary Public <br />Marshall <br />County of Residence <br />Version 4/2/2019 Contractor's Bid for Public Works - 15 <br />