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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 Na20 l _2-,U <br />C nt7etor/Bidder (Firm) <br />Signature of Contractor/Bidder or Its Agent <br />N <br />Printed Name and Title <br />Subscribed and sworn to before me this day of 20 -a <br />My Commission Expires <br />0 <br />NPublic <br />County of Residence <br />NOTANIAL SEAL <br />jean Johnson, Notary Public <br />Beaver Tbwnship <br />Cravwford County <br />CgMmISsion rypit 05-03,,2021 <br />