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may result in forfeiture of contractual payments. <br />�xx <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 12th day of Oct. ,�020 <br />Slatile Roofing and Sheet Me�il,Q)q,f� INC. <br />Contra or/Bidder (Firm \�.�`�P� �C <br />.Q_ <br />Signature o Contractor d&r or••Its nt <br />Gerald Lon erot - Pres�� <br />Printed Name and Title h/'F . <br />Subscribed and sworn/to before me this day of , A C—�— Q , 20Q <br />My Commission Expires /d(%$f/a--7 �!J(J�` �• �0 <br />T�?Rq L REINHARDT Notary Public <br />NOTARY PUBL I(�unty of Residence '5+ <br />SEAL <br />?'ATE OF INDIANA <br />MY CC1�M �,li)N EXPIRES DECEMBER i8, 2027 <br />Cd�L1IvllWSION NUMBER NP0724157 <br />Version 4/2/2019 Contractor's Bid for Public Works - 6 <br />