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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 T/Y( day of Xq 20 aD <br />Contract( BidderVirm) <br />Sim mm° of ContractorBidder or Its Agent <br />Printed Name and Title <br />Subscribed and sworn to before me this 8 7_14day of 20A <br />My Commission Expires a:�; <br />Notary Public t <br />County of Residence G TC9eJ <br />ytwrwbrrua�y <br />55ZA. LNAN <br />N. "*toy POW4 State of looms <br />SEAL ffemiltora County <br />� � Co�n�eemu�n N ifmM727! <br />dPdYMS%# Jfamaus 2,9, 2024 <br />