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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 October day of 22 , 20 19 <br />n Indiana Construction Co., Inc. <br />/l idde.rrIl <br />y, F)Vjn) <br />N <br />Signature of C71orski, <br />tor/Bidder or Its ent <br />David J. llPresident <br />Printed Name and Title <br />Subscribed and sworn to before me this 22nd da3f tOber 20 19 <br />My Commission Expires April 16, 2025 <br />Notary Public Danisha L. Mar ale <br />County of Residence St. Joseph <br />Version 1 /17/2019 Contractor's Bid for Public Works - 44 <br />