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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 of9`01#'�20 1 R <br />Subscribed and sworn to before me this 12 <br />My Commission Expires kC!;� t 19? 0A ( <br />County of Residence <br />6 <br />Contractor/Bidder (Firm) <br />-fir Zr Contractor/ idder or Its Agent <br />Print I t <br />a Name and Title <br />. day of Ala V e,m b e r , 20JI <br />Notary Public <br />UNDRAMWESTPHAL <br />NOMPUBLIC <br />SEAL <br />MINTY, STATE OF NDIM <br />OOMMIZON EXPIRES MARCH 29, 2MI <br />