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may result in forfeiture of contractual payments. <br />l hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid <br />forpublic works are true and correct. <br />Dated this day of_V\rrJ ZpA-eL <br />trtattta of C t�tttrat totIiddet or It. <br />s Agent � <br />PrintedName and Title, <br />Subscribed and sworn to before me this 2) day of <br />�....:: <br />My Commission Expires (J K r Public �, <br />COuntY of Residence ��- <br />dh 611A &] <br />CHRISTINE L JOHNSON <br />Notary Public <br />SEAL <br />State of Indiana <br />MY Commission Expires August 26, 2023 <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />