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STATE OF INDIANA <br />COUNTY OF St. Joseph <br />1, Robert A. Lingenfelter <br />(Your Name) <br />AFFIDAVIT <br />as President <br />(Your Position) <br />of Gibson -Lewis, LLC , do hereby certify, swear and affirm, <br />(Name of Contractor) <br />and declare that I am competent to give the following declaration based on my personal <br />knowledge and that the following facts are true and correct to the best of my knowledge, <br />Gibson -Lewis, LLC does verify newly hired workers using E- <br />(Name of Contractor) <br />Verify and does not knowingly employ an unauthorized alien. <br />Dated this 22nd day of October 20 19 <br />Signatuare of Affiant Robert A. Lingenfelter, President <br />Subscribed and sworn to before me, as the truth this 22nd day of <br />October ) 20 19 <br />SEAL <br />,- tp d P.1 1 _� NOTARY <br />odowaniec PUBLIC <br />My Commission Expires: Printed Name <br />8/05/2023 Residing in St. Joseph County, Indiana, <br />