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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 day of uc , 20-4 <br />,/ <br />Con <br />Signature of Contractor"rder or Its Agent <br />13/' <br />J/' <br />Printed Name and Title <br />Subscribed and sworn to before me this C� day of �ftwt , 20o� <br />My Commission Expires 9,1167, OMA Fd ,l A)(X hdld— <br />Notary Public,, <br />County of Residence �� a IN L/L <br />, <br />Heaven Edwards <br />Notary Public Seal State of Indiana <br />Elkhart County <br />Commission Number NP0725779 <br />My Commission Expires 03/1112028 <br />Version 01/13/2021 Contractor's Bid for Public Works - 7 <br />