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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 2'"1 day of Tskt 2020 <br />Grft,6,,0— �hC. <br />ContractorBidder (Firm) <br />Signature of Con`t\ractor/B`id/dbr�otr Its Agent <br />\ <br />Fus 4 \la� tVe�iEa.r V >k <br />Printed Name and Title <br />Subscribed and sworn to before me this day of 20C20 <br />My Commission Expires btCQm�ia0ai <br />Notary Public <br />County of Residence Pf)ry-S <br />""""AMANDA KAY MILLER <br />�oR?t:Y P i' Notary Pubiic. State of Indiana <br />e-.SEAL."= Morgan Countyon e CommsiNumber N�P00724226 <br />yisU6 <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />