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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 1314, day of !� �`8 , 20,90 <br />Contractor, d ) <br />Signature of Contractor/Bidder or Its Agent <br />CX4,-, J z <br />i � 1'Vi rrZ S w vi <br />Printed Name and Title <br />Subscribed and sworn to before me this t day of 0 k , 20 a O <br />My Commission Expires Q 1 U l t al <br />County of Residence <br />K")-i,-27 .. . .......... <br />Notary Public <br />,t%J111111rylf. <br />�rrrr��Rl.`f K HOi ii <br />=NOTARYotp- <br />puau� - <br />�i���yCy�sdrnN 0;S. <br />fO ± �TY11�[' ,rrr <br />Version 01/29/2020 Contractor's Bid for Public Works - 6 <br />