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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 -� .SL, day of `gin e, , 20b, <br />Subscribed and sworn to before me this <br />My Commission Expires <br />County of Residence <br />7-,-, <br />// -, <br />,L n C(, � wn a,-,�l , G <br />Contract / der <br />ignature/of ContractorBi/d/de or Itss Agent <br />Printed Name and Title <br />day of , 20Jd <br />A� &U -Wow <br />Notary Public <br />�A40 t <br />Heaven Edwards <br />Notary Public Seal State of Indiana <br />Elkhart County <br />Commission Number NP0725779 <br />My Commission Expires 03/11/7028 <br />Version 01/13/2021 Contractor's Bid for Public Works - 6 <br />