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Employment Eligibility Affidavit <br />The undersigned bidder or agent, being duly sworn on oath, does hereby state that D.A. Dodd <br />fully complies with the requirements of Indiana Code 22-5-1.7-11, and affirms that D.A. Dodd, <br />LLC does not knowingly employ an authorized alien. <br />affirm under the penalties of perjury that the foregoing facts and information are true and <br />correct to the best of my knowledge and belief. <br />Dated at Lafayette, Indiana this 21' day of October, 2019. <br />D.A. Dodd, LLC <br />mm <br />By: <br />Steti'ons <br />State of Indiana ) <br />) ss <br />County of Tippecanoe) <br />Stephen A. LeBegue being duly sworn, deposes and says that he is the Vice President of <br />Operations and that the statements contained in the foregoing affidavit are true and correct. <br />Subscribed and sworn before me this 21" day of October, 2019. <br />My Commission Expires: 01-30-21 <br />County of Residence: Tippecanoe ucfi D. Lange, Notary Iaubf <br />JN1Ma, t1 <br />'` ",�CH.�M + <br />itlN�C!#ti�Nk tSTN dh �a4�f49M.�:'W <br />4 641 to I <br />@FAL <br />MV (',gglry tl,. „, Baattr a r,g di Ctq% <br />y 30, 0 ) <br />