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may result in forfeiture of contractual payments. <br />J, ')CrcbY affirm under the pena I lic.s of PeiJurY that the facts and information contained in the foregoing bid <br />for public works are true and correct, <br />Dated this I Oth <br />day of Dec. <br />20 19 <br />Rieth-Riley Construction Co. Inc. <br />Coll traclor/13 icide'r <br />Signatur - racto <br />r or Its Agent <br />Joshua A, McCormick, Sales Manager <br />-Title-" ­-­' -a-S Manager <br />�—r7in—ted—N—ame­and * <br />Subscribed and sworn to before me this I Oth <br />� d, 6f embe 19 <br />My Commission Expires 4/18/23 <br />Notary j1Ljj,,)ji awn E. Ar strop <br />County of Residence LaPorte <br />. . ....... . .. ........ 01 RV, <br />IN <br />I)AMI It AP!MSM\1G <br />Aoll:iode V-11,11jjjjty <br />My COKMOSS�Civ Eirpiii:!!,, <br />p f Pp, 2 i�, � ��I, 3 <br />0'). ..... . . . <br />Version 10/17/2017 Contractor's Bid for Public Works - 6 <br />