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may result in forfeiture of contractual payments. <br />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 1 2th day of Oct- 2020 <br />Slatile Roofing and Sheet M ahQ)Q,,, // INC. <br />Contra or/Bidder (Firin <br />Signature o ContractorWrd_efer 01. nt its &1(c <br />Gerald Longerot - PresrqjpN`­. <br />Printed Name and Title Pp <br />Subscribed and sworn to before me this day of 20�i <br />My Commission Expires/ 0/1 sla 7 AV. <br />TARA L REINHARDI Notary Public <br />L NOTARY PUBWul of <br />T F ty esidence _'5+ 1,� <br />SEAL <br />S "r , FATE OF INDIANA <br />M Y C (;�m to'! EXPIRES DECEMBER 18, 2op? <br />"SION NUMBER NP0724157 I <br />C Nwil- ION NUM <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />