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may result in forfeiture of contractual payments. <br />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 24th day of August , 2021 <br />Subscribed and sworn to before me this 24th <br />My Commission Expires 6/5/22 <br />County of Residence <br />Milestone Contractors North. Inc <br />Contrac idder rm) <br />iature of ontractor/Bidder or Its Agent <br />Dustin P. Hilary, Director of Estimating <br />Printed Name and Title <br />.day of —Augst 92021 <br />U_. g2l,— <br />Notary u lic Alisha rueger <br />LaPorte <br />Version 08/16/2021 Contractor's Bid for Public Works - 6 <br />i .'''�A aU<•• <br />ALISHA KRUEGER <br />_;RY. - <br />La Porte County <br />t >. ,= <br />