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violations hereunder 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 10thmmw wwwww day of Dec. , 2019 <br />0'e0 "Oo <br />KEL <br />oy,PORATe <br />IF S mob <br />ALA <br />& Kel <br />irm) , <br />Hilsrv. VP of South <br />tinted Name and Title <br />Agent <br />Subscribed and sworn to before me this 10th day of mITITITDeceD2I! 19My Commission Expires 6/5/22 W <br />Notary itrbr Alisharueer <br />County of Residence pip .............. <br />ALISHA KRUEGER <br />Y% <br />y•°° <br />Notary Public, State of Indiana <br />_ <br />Sl AL <br />St. Joseph County <br />My commission Expires <br />June 05, 202.2 <br />Version 1/17/2019 Contractor's Bid for Public Works - 6 <br />