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am <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 14th day of --September 20 21 <br />Mo 0 6� 1 gig I" I M 10 0 <br />ignature of Contractod�2Wer or Its Agent <br />Matthew D. Cain, President <br />Printed Name and Title <br />Subscribed and sworn to before me this 14th day of September 20 21 <br />9 <br />My Commission Expires 03/06/2024 <br />County of Residence <br />�-Ty Public Cynthia L. Vanheste <br />. St. Joseph <br />y P CYNTHIA L. VANHESTE <br />d�. gee** <br />0 00 Notary Public, State of Indiana <br />St. Joseph County <br />SEAL** Z <br />fie e COMMIssion Number 681273 <br />'we MY Commission Expires <br />0; <br />.,,of <br />I/; I I I JON March 06, 2024 <br />Version 01/13/2021 Contractor's Bid for Public Works - 6 <br />