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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 J?2 day of , 20AJ <br />J U Sig W 6 andLAMe.� L�- <br />Contractor/ der (Firm) <br />/^"' / v <br />Signature of Contractor/Bidder or Its Agent <br />BANNER) LEIBOVITZ )0�,�4 <br />Printed Name and Title <br />Subscribed and sworn to before me this z3� day o /, , 20�L <br />My Commission Expires / Y" Zo Z <br />Notary Public <br />County of Residence <br />`,,`I,twwt1t 11111111/11j1,','' ' <br />X10\ • , i <br />FRANK THOMAS <br />WA* M MO Q : E <br />tiAwlrl �M1�N►/f� r - � � - �'^�/ ` <br />�� � �. 11Z r�G i�•t� c, <br />1111,u1,1u,1'" <br />Version 01/13/2021 Contractor's Bid for Public Works - 6 <br />