Laserfiche WebLink
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 _.... day of CCV , 20 d CL <br />Subscribed and sworn to before me this <br />My Commission Expires <br />County of Residence <br />Contra � <br />ctor Q <br />Signature of Contractor/'Ilidder or Its Agent <br />SL- <br />Printed Name and � it , <br />clay of _. ... <br />No.. <br />o Public <br />CHRISTINE L JOHNSON <br />NotaryPublic <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 />