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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 / day of tel' „ 20k <br />MCC'ANN I I S IR.IE <br />CC' tot IItr r�/B der (Firm) <br />ignatr,lre` of Contractor/Bidder or Its Agent <br />STEVE ROGGEANmCFO <br />Printed Name and Title <br />Subscribed and sworn to before me this day of , 20 X <br />My Commission Expires )�'ku <br />A"WPION"VERF05 <br />• <br />County of Residence <br />LINDSEY TANIS <br />OFFICIAL SEAL <br />Notary Public - State of Illinois <br />My Commission Expires Dec 06, 2023 <br />5 <br />