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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 12TH day of November, 2019 <br />Subscribed and sworn to before me this 12th <br />My Commission Expires March 19, 2026 <br />County of Residence <br />Martell Electric, LLC <br />Colt 'actorlliic ' er (i <br />Si...tta1r ............� <br />C, ntracto / Idder e'er Its Agent <br />nnifer Martell- President <br />Printed Name and Title <br />.day of November 2019 <br />Notary 1 thtlic. <br />St. Joseph <br />ry4[B INY �pXs� 17 <br />-," <br />,-' v t 0 W Notary Pub i State of Indians <br />«' 1 " <br />Sr, Joseph oijnty <br />Commission # 711599 <br />'�"� <br />My Commission expires <br />dka"�+'` <br />March 19, 026 <br />11011 <br />Version 1/17/2019 Contractor's Bid for Public Works - 6 <br />