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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 26th day of NOV. 2019 <br />Subscribed and sworn to before me this 26th <br />My Commission Expires 4/18/23 <br />County of Residence <br />Rieth-Riley Construction Co. Inc. <br />tgn <br />or Its Agent <br />Joshua A. McCormick, Sales Manager <br />Printed Name and Title <br />dta.Vember <br />Notary public Da n E. krnstron <br />LaPorte <br />YJl iklW cf iwrwk/ i.,'µµ✓ <br />u'vV!41f,p�4 1�AYV,,i IG 4��N�4�+&v Rq�p Mp 11 rin�,i„ i. <br />y'4M <br />G.: <br />'i �r...V�r*n"dIM 101H #'666596 <br />r <br />PAV �ytlW0ny�'08e000 ' s'lH'�t„�s F <br />B, <br />02 3 <br />iNE` KK+l ltivrtittY�il"df+i" dfJ��IPP9fl✓VI01tl0!Yli' S.,INI/dF'Nvi�GIYpJIYv ,y�JlW� . u1N29fmo,W �' ) '✓n�/,"1fui�WA'°iw'c �'� <br />Version 412/2019 contractor's Bid for Public Works - 6 <br />