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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 3 day of , 201k <br />Il!:= <br />of Contractor/Bidder or I <br />n � n <br />Printed Name and Title <br />Subscribed and sworn to before me this day of i , 202 \ <br />My Commission Expires <br />Notary Public <br />County of Residence <br />���4AC sF MAUREEN R. DOWNING <br />Notary Public, State of Ohio <br />Nam.•.. my commissio <br />Expires Z Z <br />1t'SC2✓aLoas <br />Version 01/13/2021 Contractor's Bid for Public Works - 6 <br />