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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 to <br />k __ � <br />day 01 yu— <br />, (AA,P 6, t< V-\ <br />V_j3,_( ) OL ft/Lot <br />SUb bed and sworn to efore ine this / C <br />V.,r-, an Lt.>,, t -e t- % <br />My Commission Expires <br />County of Residence <br />Cot Cot r, or/Bidd [irm) <br />Signature of Contractor/Bidder or Its Agent <br />Printed Name and Title <br />day of JVAY) UCt o20 2(--,, <br />Notary Public <br />CHERYL L. CAMPBELL <br />Notary Public, Kalamazoo County, MI <br />My Commission Expires April 15,2021 <br />