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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 13th day of July 92021 2021 <br />Subscribed and sworn to before me this 13th <br />My Commission Expires g Z023 <br />County of Residence <br />The Robert Henry Corporation <br />Contractor/ 'dder (Fi ) <br />Signature of Contractor/Bidder r Its Agent <br />Brian S. Henry, President <br />Printed Name and Title <br />day of July , 2021 <br />Notary Public <br />S-�. 1,05 Ceti <br />�PPr. PU CAROL .B'. -DOY.LE <br />: SEALIn Notary Public <br />* St, JBSeRh Co�nf�. Stats oflndiani,; . <br />�VninNP Camrt►ission 6xpir'�`s Mar�rF'18 2623.' <br />Version 01/13/2021 Contractor's Bid for Public Works - 6 <br />